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Welcome to the AMDSB International Education - Homestay Family Application!
Parent Contact Information #1
First Name
Last Name
Date of Birth (mm/dd/yyyy)
Street Address
City/Town
Postal Code / Zip Code
Occupation
Home Phone Number
Cell Phone Number
Work Phone Number
Email Address
Parent Contact Information #2
First Name
Last Name
Date of Birth (mm/dd/yyyy)
Street Address
City/Town
Postal Code / Zip Code
Occupation
Home Phone Number
Cell Phone Number
Work Phone Number
Email Address
Please list all other persons residing at this address.
(those aged 18 and over must have their own separate email address)
Please list all other persons residing at this address.
(those aged 18 and over must have their own separate email address)
Name
Relationship
Date of Birth
(mm/dd/yyyy)
Email
(if over 18)
1st Person
1st Person
2nd Person
3rd Person
4th Person
2nd Person
1st Person
2nd Person
3rd Person
4th Person
3rd Person
1st Person
2nd Person
3rd Person
4th Person
4th Person
1st Person
2nd Person
3rd Person
4th Person
5th Person
1st Person
2nd Person
3rd Person
4th Person
6th Person
1st Person
2nd Person
3rd Person
4th Person
7th Person
1st Person
2nd Person
3rd Person
4th Person
62 Chalk Street North, Seaforth, ON N0K 1W0
Telephone:
(519) 527-0111
Toll Free:
1-800-592-5437
Fax: (519) 527-0222
info@ed.amdsb.ca
www.amdsb.ca
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