Update Host Family Information
Please use this form to update the District team when your student moves host families, at least 14 days prior to the move. If you have more than 6 family members to report, just submit the form twice or email secretary@rotaryyouthexchange.net.au with the details.
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Student details
Student name *
Student email *
Student mobile phone
Date of move
MM
/
DD
/
YYYY
Host family surname:
Host family address:
Host family telephone:
Host family email:
Host family members
Family member #1
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #2
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #3
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #4
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #5
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #6
Full name:
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Working with Children expiry date:
MM
/
DD
/
YYYY
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