Adopt-A-Student 2008 Host Form
host family sign up
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
 
Do you attend 11 o'clock worship? *
yes
no
 
Can you provide transportation for the student, if needed? *
yes
no
 
Family members, with children's ages:
 
What are your interests/hobbies/activities?
 
Do you have pets, and if so, what kind?
 
Describe the type of relationship you would like to have with a student:
 
Is there anything else you would like us to know as we match students with families?
 
Please contact Donna Hatfield (donnalhatfield@gmail.com or 704-895-4959) if you have questions.
Last Published: August 6, 2008 3:12 PM
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