Word-Import - 1

Boarder’s name: __________________________________

4. If you indicated “car” in #3, above, please indicate who will be driving.

5. Are you going home? If so check here. If not:

Location of your stay:

a. Who will you be staying with?

b. What is their relationship to you? ______________________________________

c. Are your parents aware of the location of your stay?

6. Contact Information

10. If you indicated “car” in #9, above, please indicate who will be driving.

4. If you indicated “car” in #3, above, please indicate who will be driving.

5. Are you going home? If so check here. If not:

Location of your stay:

a. Who will you be staying with?

b. What is their relationship to you? ______________________________________

c. Are your parents aware of the location of your stay?

6. Contact Information

10. If you indicated “car” in #9, above, please indicate who will be driving.