What type of accommodation would you like Crown to arrange?
(please select one box only) |
|
| For how many weeks / days? |
|
| Accommodation start date (First Night) |
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| Accommodation finish date (Last Night) |
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Would you prefer a host family with
(please select one box only) |
Young children Older children No children Retired family Doesn’t matter about children |
| Do you smoke? |
Yes No |
| Is it OK for your host family to smoke? |
Yes No |
| Is there any food you cannot eat? |
Yes No (If yes, state below) |
| Your interests |
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| Do you have any other homestay requirements? |
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| Would you like Crown to arrange insurance for you? |
Yes No |
| Do you suffer from any medical condition or allergy? |
Yes No (If yes, specify below) |
| Do you want Crown to arrange airport transfer (NZD 80.00 each way)? |
From airport Return to airport |
