Update Host Family Information
Please use this form to update the District team when your student moves host families, at least 7 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.
Email address *
Student details
Student name *
Your answer
Student email *
Your answer
Student mobile phone
Your answer
Date of move
MM
/
DD
/
YYYY
Host family surname:
Your answer
Host family address:
Your answer
Host family telephone:
Your answer
Host family email:
Your answer
Host family members
Family member #1
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #2
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #3
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #4
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #5
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
Family member #6
Full name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Working with Children number:
Your answer
Working with Children expiry date:
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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