Hawaii Homestay Program for International Students 
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1. 學生姓名 Student Name
2. 國籍 Nationality
3. 就讀學校與年級 School name and the grade
4.電話 Phone number
5. 電子郵箱 Email Address
6. 需要餐食 Meals you need
7. 需要交通接送 Pick-Up Need
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8. 抵達日期 Arrival Date
MM
/
DD
/
YYYY
9. 停留期間Length of Stay
10. 總共人數Number of Guests
11.  飲食注意事項  Any Special Requests or Dietary Restrictions:
12. 緊急聯絡人關係/姓名與電話 Emergency Contact Name and Phone Number
13. 是否有過敏或任何健康情況我們需要留意的

Do you have any allergies or medical conditions we should be aware of?

14. 請提供您的理想預算 Ideal Budget
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