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Homestay Enquiry Form
Please complete the form and we will call you back! Alternatively, you can call us on 02380 435636 (option 3).
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* Indicates required question
Full Name
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Address
*
Your answer
Post Code
*
Your answer
Email Address:
*
Your answer
Phone Number:
*
Your answer
Rooms available
*
1
2
3
4
Required
Do you smoke?
Please note that students are NOT permitted to smoke inside the homes of homestay hosts.
*
Yes
No
Do you have any pets?
If yes, please specify in the "other" section
*
Yes
No
Other:
Required
Do you have any children under 5?
*
Yes
No
When would be a good time and date to call you?
*
Your answer
How did you hear about us?
*
Your answer
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