Billets

Applicant Name: *

Applicant Age: *

Spouse Name: *

Spouse Age: *

Address: *

City: *

Postal Code: *

Email Address: *

Home Phone: *

Cell Phone: *

Work Phone: *

Do you have children at home?

If Yes

Age

M or F:

Child 2

Age Child 2

M or F: Child 2

Child 3

Age Child 3

M or F: Child 3

Do you or your spouse work from home?

Applicant Occupation:

Applicant Employer:

Spouse Occupation:

Spouse Employer:

Do you have pets?

If yes please list:

-

Do you have internet access?

Have you ever hosted before?

Is your home smoke free?

How many players are you interested in hosting?

Selected Value: 1

Are you interested in helping if a short term host situation is required?

Tell us why you would like to Host a Kraken:

Please email krakenhockey@shaw.ca for more details