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What to Expect
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Getting There
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What to Expect
What to Bring
Getting There
Lions Club International
Lion Leadership Camp Youth Exchange Program
Host Family & Host Lions CLub
Application Form
A. HOST FAMILY DATA
Family Last Name:
Husband First Name:
Wife First Name:
Mailing Address:
City:
Province:
PC:
Home Phone:
Business Phone:
Fax:
Email:
Husband's Occupation:
Wife's Occupation:
Lions Club Members:
Husband
Wife
Club Name(s)
Name, ages & sex of children who will be at home during visit:
National Origin of Husband:
National Origin of Wife:
Family Religion:
Languages Spoken:
Family Interests and passtimes:
Home Location:
City
Town
Village
Farm
Acregage
Single Family Dwelling
Apartment
Population of City:
Average Climate:
Pets in the Home:
Previous Hosting Experience:
B. HOST FAMILY PREFERENCES
We would prefer youth to be a:
Girl
Boy
Either
Age:
Special field of interest we would suggest our youth to have:
Smoking allowed in our home:
Yes
No
We are willing to host youth for:
Period 1
, Prior to camp that starts July 8th (15 days)
Yes
No
No of youths allowed:
We are willing to host youth for:
Period 2
, July 29th until the youths departure (3 days)
Yes
No
No of youths allowed:
Other dates:
Comments:
We promise that one parent or some other responsible person will be at or near home during the period of our youth’s stay. Further, in fairness to the youth and any other Host Family that may also be involved hosting the same youth it is understood we shall relinquish ties during the time when the other family is hosting him or her, unless agreed to by the Families.
Submit Application
