Host Family Sign Up Name * First Name Last Name Email * Address (Include EIRCODE) How Many Beds Do You Have Available? 1 2 3 4 5 6+ Have you done hosting before? * Yes No Phone (###) ### #### Do you have Cats/Dogs? Cats Dogs Tick Box to Confirm: You Have a Working Smoke Alarm You Have a Working Carbon Monoxide Alarm Gender Preference of Students * No Preference Male Female Please confirm your availability from Thursday 3rd July - Monday 28th July * Fully Available Partially Available Thank you for applying to be a host family. A member of the EIRE team will be in touch soon. Host families are a critical part of running successful programmes. If you are interested in becoming a host family for EIRE Rugby, please fill in the form below.