Host Family Registration Form

Family Information 3/4 (Children Details)
Details of children of Host Family
First Name of Child DOB (DD/MM/YYYY) M/F Living at Home (Y/N)

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Family Information 4/4 (Other Details)
Do you have Pets?*
If you have Pets, are they indoor or outdoor or both?
Type of Pets
- Dog/s
- Cat/s
Please list the family members' Hobbies and Interests*
Does anyone play a musical instrument?*
Musical Instruments played (please list)
Have all members of the family been Garda Vetted by IECT?*
If the family members have been Garda Vetted by IECT - please provide date

Day
Month
Year

Hosting Availability/Accommodation
Please list dates that are unsuitable for hosting
Can host students with following dietary requirements (check all that apply)*
- Coeliac
- Vegetarian
- Vegan
- Other
- None of the above
Preferred Student*
Preferred Student Age Group*
Accommodation available for student*
How many students could you welcome?*
Please enter a number from 1 to 10.
Can you accommodate a student who smokes?*
Do you host Students from another organisation?*
If yes, please indicate the following:
Student Nationality Male/Female? Sharing with Family member? Y/N

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Visitors expected while students are staying? Please give details
Consent to Data Collection*
I Agree
By ticking this box I confirm that I am over 18 years and have read the privacy policy of this site.
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First Name of Child	DOB (DD/MM/YYYY)	M/F	Living at Home (Y/N)

Student Nationality	Male/Female?	Sharing with Family member? Y/N

Your Contact Details