EmailMe Form - 2021 Host Family Questionnaire

Name *

First Last

Spouse Name

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

### - ### - ####

Spouse Cell Phone

### - ### - ####

Email *

Spouse Email

Have you been a host family before? *

YES

NO

How many team members would you be willing to host? *

1

2

3

4+

How many people in your family? *

If you have kids, how old are they and what gender are they? *

Do you have any animals or pets? *

YES

NO

If yes what kind? (i.e. dog, cat, etc.)

Does any one in your home smoke? *

YES

NO

What does alcohol & drug use look like in your family? *

How much time does your family spend in the home each week? Do you both work? *

Are you planning to take a vacation this summer while the players are here? If so, what dates? *

Would the team member(s) have their own beds? *

Note: We can help locate a second bed if necessary.

Would there be space at your home to have an extra vehicle? *

YES

NO

Do you have a vehicle players could borrow for the summer? *

YES

NO

Would players have adequate access to food, laundry, bathroom, etc.? *

Does your home have wireless internet access for the players? *

YES

NO

Would you or a family member be willing to volunteer at home games? *

YES

NO

Area of volunteer interest (tickets, concessions, event promotions, etc.)

Do you go to church? If so which church do you attend? *

Any suggestions, comments, or questions for us when we follow up:

Do you have a neighbor, friend, or family member who we should contact about possibly hosting? What is their name & number?

Thank you!

This is a tremendous opportunity for you to participate in our ministry and build relationships that will last a lifetime! We will follow up with you ASAP and if you have any questions please reach out to Host Family Coordinator Alysa White at white.fca@gmail.com or (562) 619-6195 or Administrative Director Erin Smith at esmith@fca.org or (562) 619-4616.