2022 Pippins Host Family Application

Address, Accomodations, Kids, and Pets

Please note: We do not require that host families cook meals for players, but we do ask that players have access to food items as if they were a member of the family. Remember, players are not paid for being on the team.

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* 1. Please enter your first & last name.

First Name

Last Name

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* 2. Please enter your physical address, including city and zip code.

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* 3. Home Phone Number

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* 4. Cell Phone (s)

Cell Phone (primary)

Cell phone (other)

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* 5. Can you receive text messages on either cell?

Yes

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* 6. Primary Email Address (the one you will check)

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* 7. I authorize my contact information to be shared among Pippins host families for the purpose of team communications.

Yes

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* 8. Do you own or rent your home?

Own

Rent

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* 9. If you rent, has the property owner given you written permission to temporarily add another household member? (NOTE: If "no", we unfortunately will not be able to place a player with you at this time.)

Yes

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* 10. Accommodations provided for the player(s) (select all that apply) (Players may share a bedroom, but not a bed. Bedrooms of players cannot be shared with host family family members):

Separate Bedroom

Shared Bedroom

Separate Bathroom

Shared Bathroom

Other (please list):

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* 11. Are there any children living in the home (17 & younger)?

Yes

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* 12. If "Yes" - how many?

4 or more

Other (please specify)

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* 13. Are there pets in the household?

Yes

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* 14. What type of pet?

Cat

Dog

Other (please specify)

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* 15. How many pets do you have?

3 or more

Other (please specify)