Form for host parents : My Family Au Pair - Au Pair Agentur Deutschland

Form for host parents

Marital status

Mom's surname

Mom's first name

Mom's DOB

Mom's Nationality

Dad's Last Name

Dad's First Name

Dad's DOB

Dad's Nationality

Religion

Does the family actively practice the religion?

yes

Do you smoke?

Yes, in the house

Yes, outside

Hobbies of parents

Street

House number

Postal code

City

Country

Landline number of

Landline number

Mobile phone number of

Mobile phone number

May we contact you via what's app or telegram?

yes

Email address of

Email address

Enter your email address

If you are human, leave this field blank.