Parental Consent Homestay Application
Student Information
Full Name
Date of Birth
Gender
Female
Male
Other
Parent/Guardian Information
Parent/Guardian 1 Full Name
Relationship
Contact Number
Parent/Guardian 2 Full Name
Relationship
Contact Number
Host Family Preferences
Any preferences or requirements
Medical Information
Relevant medical conditions or allergies
Parental Consent
I hereby give consent for my child to participate in the homestay program.
Parent/Guardian Signature
Date