Scarlett Homestay Services : Application

Scarlett Homestay Services Host Family Placement Application

Your Name:
Date:	(MM/DD/YYYY)
Your Email Address:
Sex:
Age:
Address in home country:
Arrival Information:
Airline:
Flight #:
Date:	(MM/DD/YYYY)
Time:	(Unless otherwise notified, we will pick you up at the airport!!)
Which school will you be attending, if any?	(If you are not attending a school type in "none")
Do you smoke?	Yes No(please select one)
If "yes" can you smoke outside?	Yes No
Will you live with a family that has a dog or cat?	Yes No
Who do you want food provided by?	Your host family Yourself
Which date will be your first day of the Homestay?	(MM/DD/YYYY)
Your Final day?	(MM/DD/YYYY)
What form of transportation will you use?	Car Public Transportation Other
Other necessary information (please let us know if you have any special requests.
Please read and sign below: Each of the undersigned aggrees to hold Scarlett Homestay Services, Agents, School, and employers, harmless from any claim by him or her for losses, costs, expenses, damages, and injuries to person or any property, wheter direct or consequential, arising in any way out of the housing arrangement described in this agreement and any activity related to such housing. Please print your full legal name: Date: (MM/DD/YYYY) This applicatiion must be signed by the student, (or if student is under 18 years of age from their parent or legal guardian) in order for this application to be processed. Please note that accommodation and airport and airport pickup will not not be confirmed untill all fees are paid. Request for homestay accommodation must be received at least 2 weeks before student arrival. Accommodation booking is for a minimum 4 weeks. Accommodation Placement Fee and Airport Pickup fee are not refundable. Full homestay fees are only refundable if cancellation received prior to 48 hours of arrival. Homestay fees will incur 50% cancellation fee if notification received within 48 hours of arrival.