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Old Farmers Ball Housing Request
Completion of this form will help us match you with housing that meets your needs.
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Email *
Band Name *
Housing Date(s) *
Band Member/Caller Names *
We attempt to house your group together in one home but may need to split the group and house you in two locations.  Please identify Band Members who want to be housed together.  
Bed Preferences -Single/Twin Size
Specify how many/Band member names
Bed Preferences - Double/Queen
Specify how many/Band member names
Allergies - Cats
Band member names
Allergies - Dogs
Band member names
Allergies - Food
Band member names and allergy
Other Considerations
Mobility, Other Allergies , Etc/Band member names
Housing Contact Name *
Housing Contact Phone Number *
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