Housing

HOUSING APPLICATION

 

SCHOOL NAME: _________________________________________________________

SCHOOL ADDRESS: _____________________________________________________

PUPIL NAME: ___________________________________________________________

SEX:    MALE ______  FEMALE ______

DATE OF BIRTH: _______________________________________________________

EMAIL: ____________________________________  MOBILE PHONE: __________________________

ARRIVAL DATE: __________________________ DEPARTURE DATE: _______________________

FAVOURITE FOODS: ____________________________________________________________________

FOOD ALLERGIES/DISLIKES: __________________________________________________________

OTHER ALLERGIES: ____________________________________________________________________

ANY OTHER CONCERNS:_______________________________________________________________ ____________________________________________________________________________________________

HOBBIES/INTERESTS: _________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please attach a photo.

 

Submitted by: ___________________________________________  Date: ________________________

 

CAMPION SCHOOLMUN2016 HOUSING FORM