The more we know about you, the better we can find your perfect host.

Please fill out all the items so that we may find the best home for you!

Your New York Visit
Arrival Date:

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Departure Date:
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Carrier;  Flight;  Arrival Time:
   
Carrier;  Flight;  Departure Time:
   

 

Your Information
Name:
Address:
Home Telephone:
Work Telephone:
Fax #:
E-Mail Address:

 

Group Information You Person 2 Person 3 Person 4
Name:
Age;  Sex: M
F
M
F
M
F
M
F
Relationship to you:
Occupation:
Interests:
Do You Have any Allergies?: Yes    No Yes    No Yes    No Yes    No
If Yes Please list:
How well do you speak English?
Do You Smoke? Yes    No Yes    No Yes    No Yes    No
Any Dietary Restrictions? Yes   No Yes    No Yes   No Yes    No
If Yes Please list:

 

Accommodations - Will You Accept:
Families with small children? Yes     No
Couples? Yes     No
Single Male Host? Yes     No
Single Female Host? Yes     No
Home with a dog? Yes     No
Home with a cat? Yes     No
A climb of more than 2 flights of stairs? Yes     No
Staying in a home where someone smokes? Yes     No
Sharing the bathroom with the host family? Yes     No

 

Time
What time will you get up in the morning?
Will you often be out after midnight? Yes     No

 

Hosts
What is most important to you about your host family?

 

Comments
Anything else you would like to tell us?

 

 

 

Contact Information

Telephone
718-434-2071
 
FAX
718-434-2071
 
Postal Address
Homestay New York
630 E. 19th ST.
Brooklyn, NY 11230
USA
 
Electronic Communication
Inquiry and Information: Helayne@HomestayNY.com
Press Kits: Press Kit Request
Reservations: Guest Application
Copyright © Homestay New York . All rights reserved.
Revised: May 22, 2002 .