Register as an English Naturally host family

Username *
Password *
Repeat password *

First name *

Last name *

Address 1 *

Address 2

City *

Postcode *

Home phone (inc code) *

Mobile phone *

Email address *

Main contact

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Person 2

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Person 3

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Person 4

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Person 5

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Person 6

Name

Gender Please select... Male Female

Date of birth (dd/mm/yyyy)

Occupation or school/college attended

Bedroom 1 Double bed
Twin beds
Single bed
Triple beds
Bunks

Bedroom 2 Double bed
Twin beds
Single bed
Triple beds
Bunks

Bedroom 3 Double bed
Twin beds
Single bed
Triple beds
Bunks

Bathroom 1 Shared with family
Exclusive for client if needed
Ensuite
Shower
Bath

Bathroom 2 Shared with family
Exclusive for client if needed
Ensuite
Shower
Bath

Broadband wifi Yes

Bus information to centre

Pet details

Family interests

Languages spoken fluently

Where did you hear about the opportunity to host students? Please select... Leaflet through the door Facebook post Facebook ad Newspaper/newsletter ad Recommended by host already on our list Other (Please specify)

Any other information you think we should know?

Diet Vegetarian only
Vegetarian, OK to cook meat
Can cater for vegetarians
Can cater for vegans
No vegetarians,please
Can cater for coeliac

Other facilities Bikes
Garden
Piano / Keyboards
Drums
Guitar
Table Tennis
Trampolines
Video Game Consoles

Smoking - Residents Don't smoke at all
Smoke outside only
Smoke inside

Smoking - Visitors/students May not smoke at all
May smoke outside
May smoke inside