Host Family registration form
Street name *
Street Number
Eircode*
City*
County* -- Select your county --AntrimArmaghCarlowCavanClareCorkDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLondonderryLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklow
Title -- Select one option --Mr.Ms.Mrs.Miss
Date of birth *
Given name *
Surname *
Occupation
Phone number *
Email adress *
Date of birth
Given name
Surname
Phone number
Email adress
Name
Relationship -- Select one option --Grandfather or GrandmotherSon or DaughterGrandson or GrandaughterBoyfriend or GirlfriendPartnerFriendOther
Gender MaleFemaleNon binary
Living at home? YesNo
Let us know if there is more members in your family living at home
Family -- Select one option --Single no kidsSingle with kidsCouple no kidsCouple with kids
What room types do you have available? -- Select one option --Double roomSingle ensuite roomSingle roomShared roomTriple roomTwin ensuite roomTwin room
Which guests do you accept? -- Select one option --MaleFemaleNo preferences
Willing to host minors? -- Select one option --Under 18’sMature guests 18 & overBoth
If you wish to host under 18 with us, you must be GARDA VETTED. We will send you the Garda Vetting Form with our welcome email.
Booking type offered Ministays 1 weekSummer stays 2-4 weeksAcademic students 3-9 monthsSelf catering or half board for +18 guests
Do you have pets? CatDogOutdoor pets onlyNo petsOther
If yes, could you please tell us about your pets (names, breeds...)
Does anyone smoke inside your home? NoYes
It's not compulsory but you can be sure your futur student would appreciate you can send some pictures we can share with him/her
Family picture
Student's room picture
House picture
Please, use this space to tell us a bit about you and your family, what you enjoy doing together, any shared hobbies or particular interests of your children. This information will help us best match a student who would fit most easily into your family
We pay our host families by bank transfer, so we will appreciate you fill in your bank account details.
Account holder
BIC number (eg.AIBKIE2D)
Account IBAN (eg.IE12AIBK12345678901234)
I read and agree the HomeStay terms, conditions and recommendations *.
Basic information on data protection:
Person responsible for the file and data protection: David Cabezudo i Fors.
Ofjective: Objective: Assembly of the solicited information in order to perform the offered services.
Legal legitimation for the processing of the data. Consent of the interested party.
Rights: To access, rectify, limit and delete the data.
Data recipients: The data might be handed over to the collaborating companies and the school attended by the student being hosted, if necessary, in order to present the offered services.
Data storage time limit: The personal data will be stored for as long as the professional relationship is maintained or until the deletion of the data is requested and within the period during which legal responsibilities of the service presented can be derived.
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