Homestay Registration Form

Homestay Registration form for homestay families in Toronto, Vancouver, Niagara Falls, Rocky Mountains, Banff, Montreal, Ottawa, PEI, Halifax, Calgary, London, Edmonton, Winnipeg, Saskatoon, Regina, Victoria, Hamilton, Saint John, Canada, North America.

Part 1: Please tell us what you are registering for Homestay
Homestay Tutor
Rental Units

Part 2: Please provide homestay registration information

Family Name
Telephone
Fax
Family members
Residence address
Full Postal address
Emergency Contact numbers
Email Address
Country of Citizenship
Education
Teaching experience
Other Work Experience
Languages spoken	English French Korean Japanese Deutsch Espanol Portugese Italian Chinese Russian Others
Dates Homestay Available
Can you be appointed legal guardian for under 18 year old students?	Yes No
Teaching Specialties
House Descriptions
Neighborhood Descriptions
House Rules
Laundry Descriptions
Meal Descriptions
Phone, TV, Internet Descriptions
Family Activity Descriptions
Prices: 4 weeks Room + Breakfast
Prices: 4 weeks Room + 2 meals
Prices: 4 weeks Room + 3 meals
References
Any Additional Information:

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