Host Family Application Form

Step 1 of 5 – Responsible Adult

20%

Responsible Adult

(person completing this form)

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street & number City Postal Code

Household Members

Full Name(s) of all other adults in household (aged 18 years and above)(Required)

This includes all adults who permanently reside or temporarily stay at the host address during the hosting period.

Full Name(s) of all children (aged 17 years old and under)(Required)

Language(s) spoken(Required)

Pets

Do you have pets?(Required)

Yes

Type of animal and number(Required)

Do these pets present any safety concerns?(Required)

Yes

N/A

Please explain(Required)

Information about the habitation

Do you have a separate room for the delegates?(Required)

Yes

How many separate beds do you have?(Required)

Please enter a number from 1 to 10.

Are there stairs in your house?(Required)

Yes

Are you willing and able to cook vegetarian?(Required)

Yes

Hosting

Are you hosting on the week-end of 4-6 July?(Required)

Yes

Delegations are arriving before 14h on Friday 4 July in Belgium. Can you pick them up at:

Zaventem airport(Required)

Yes

Charleroi airport(Required)

Yes

Brussels-Midi Train Station(Required)

Yes

Can you be there on Friday 4 July before 14h?(Required)

Yes

If needed, could you host delegates from Thursday 3 July, given that some delegations from countries outside of the EU might already arrive on that day?(Required)

Yes

Are you hosting on the week-end of 18-20 July?(Required)

Yes

We would need you to do the laundry of the delegates at your place. Can you confirm this is possible for you?(Required)

Yes

31 July end of camp. Are you available?(Required)

Yes

To do transfers to the airport / train station?(Required)

Yes

To come help clean the Camp Site?(Required)

Yes

This field is for validation purposes and should be left unchanged.