Homestay Services| Come to Toronto Ontario Canada and Learn English

Student Registration Form -

Please complete this form

Or Download Here.

NOTE: Please print and complete this form and fax it back to us to: Fax: (416) 494-4811

If you do not have acrobat reader, please download here

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PERSONAL INFORMATION

Name
Address
City
Country
Postal Code
Telephone
Fax
Email
Occupation
Date of Birth
Sex
Level of English

Parent or Emergency Contact
Name
Telephone
Relationship

HOMESTAY INFORMATION

Homestay Start Date
Homestay End Date
Do you smoke?
Would you like to stay with a family that smokes?
Do you like Pets?
Do you prefer a family with children?
Do you prefer a private room?
Do you prefer 3 meals per day?
Do you prefer to live with a single host?
Do you have any medical problems?
If yes, what are they?
Is there anything you don't eat?
What are your hobbies and interests?
Do you have any special requests/needs?
School Name

AIRPORT PICK-UP INFORMATION

The cost of airport pick-up is $100. If you arrive between 23:00 and 7:00 there is a $25 surcharge. If there are changes to this information, you must notify Homestayplus 48 hours in advance of arrival. If you do not,
we cannot guarantee your pick-up.

Airport pick-up
Date of arrival
Time of arrival
Airline / Flight number

COURSE INFORMATION

Do you require school referral?
Start Date
Number of Weeks
Program
Type of Programme

I understand that by filling in this registration form, I agree to, and will obey all the following conditions as a homestay student:

Before confirmed arrangements can be made with a Canadian host family, the placement and the first 4 weeks homestay fees must be received in Canadian funds. The placement fee is non-refundable.
I agree to stay with the host family until: If I decide to stay any extra days, or leave earlier than the above mentioned date, I will give the host family 2 weeks notice.
I will participate in my host family's daily activities, speak English whenever possible, and respect the host family's home.
I will be responsible to keep my accommodation clean. At the end of my homestay I will leave the accommodation in the same condition as I found it and will accept responsibility for any damage, loss, or unpaid phone bills caused by myself or by my friends in the host family's home.
I will not invite any friends or family members to the host family's home, unless I have received permission from the host family first. I accept complete responsibility for the behavior and action of my guests, while they are in the host family's home.
I agree not to smoke or drink alcohol in the host family's home, unless invited.
I will inform my host family in advance if I am planning to be away for evening meals or if I will return later than expected.
I will not make long distance calls, unless I use a calling card.
I agree to promptly pay the homestay fees.
Homestay Plus is not responsible for any loss or damage to your belongings while staying with our homestay family.

Sending your Fees

Students who are applying for homestay must send non-refundable placement fee along - with the appropriate homestay fee. For details please refer to Rates page.

- Payments to be made by Wire Transfer

Bank information

Bank of Montreal
4797 Leslie St.
Willowdale,Ont.
M2J 2KA CANADA
Bank account No. : 1037-526
Bank Code: 001
SWIFT No. : BOFMCAM2
Transit No. : 04572