* 1. Please write your full name:

* 2. Please provide your email address below:

* 3. What city or town do you live in?

* 4. How far are you from public transportation?

* 5. How many students are you willing to host?

* 6. What nights are you willing to host a student?

* 7. Do you have any pets?

* 8. Please provide any other information about your home you are willing to share with the students:

* 9. Release: Participant agrees to release, indemnify, hold harmless and defend the Academy and its members, trustees, directors, officers, employees, contractors, agents, affiliates, and successors and assigns (collectively “Releasees”) from and against any claim which Participant, his/her legal guardian(s), or any other person, may have for any losses, damages, or injuries arising out of or in connection with Participant's participation in the housing accomodations. The Academy shall also not be responsible to Participant, Guardian, and/or any other person for illness, injury or damage to or loss of property due to Participant's own acts or omissions.