Festival Host Family Registration Form 2014 Survey

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* 1. Mother's Information:

Name:

Address

City/Town:

State/Province:

ZIP/Postal Code:

Phone Number:

Mobile Number:

Email Address:

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* 2. Father's information:

Name: *

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Phone Number: *

Mobile Number: *

Email Address: *

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* 3. Do you have a child participating in Festival Ha'Rikud?

yes

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* 4. If so which group?

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* 5. Do you have any kids in your household, if so how old are they?

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* 6. Please answer the following:

	Yes	No	other
Are you Kosher?	Are you Kosher? Yes	Are you Kosher? No	Are you Kosher? other
Are you vegetarian?	Are you vegetarian? Yes	Are you vegetarian? No	Are you vegetarian? other
Are you Shomer Shabbat?	Are you Shomer Shabbat? Yes	Are you Shomer Shabbat? No	Are you Shomer Shabbat? other
Do you drive on Shabbat?	Do you drive on Shabbat? Yes	Do you drive on Shabbat? No	Do you drive on Shabbat? other
Do you attend Saturday morning services?	Do you attend Saturday morning services? Yes	Do you attend Saturday morning services? No	Do you attend Saturday morning services? other
Is there a smoker in the household?	Is there a smoker in the household? Yes	Is there a smoker in the household? No	Is there a smoker in the household? other
There will be some male visitors, will you be able to host them?	There will be some male visitors, will you be able to host them? Yes	There will be some male visitors, will you be able to host them? No	There will be some male visitors, will you be able to host them? other
Do you have pets? If yes what kind of pets?	Do you have pets? If yes what kind of pets? Yes	Do you have pets? If yes what kind of pets? No	Do you have pets? If yes what kind of pets? other

Other (please specify)

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* 7. Besides English, do you speak any other languages?

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* 8. How many visitors could you host?

Two

Three

Four

If we provide you with an air matress, could you host more guest than indicated above?

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* 9. It is usually more comfortable for the participants to stay in pairs, but if you really cannot host two we would still very much like if you would accommodate 1. Please leave a comment here if you prefer to only host 1 participant.

Festival Host Family Registration Form 2014

JCC Festival Ha'Rikud Host Family Registration Form

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* 1. Mother's Information:

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* 2. Father's information:

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* 3. Do you have a child participating in Festival Ha'Rikud?

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* 4. If so which group?

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* 5. Do you have any kids in your household, if so how old are they?

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* 6. Please answer the following:

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* 7. Besides English, do you speak any other languages?

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* 8. How many visitors could you host?

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* 9. It is usually more comfortable for the participants to stay in pairs, but if you really cannot host two we would still very much like if you would accommodate 1. Please leave a comment here if you prefer to only host 1 participant.

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* 10. Do you have any other comments, questions, or concerns?