Host Family Global Connect Application Form

Global Connect Application Form

Name(Required)

First Last

Please list all other family members below(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

I am an APA Member in good standing(Required)

Yes

APA Club:(Required)

Personal Reference (name and phone number):(Required)

What time of year would you be able to host and for how long?(Required)

Tell us about your family and what experiences you would like to offer to an international player?(Required)

What time of year and for what duration would you be willing to host:(Required)

What would you be able to provide (horses, tournaments, activities, etc):(Required)

What are your expectations (exercising horses, farm work, etc):(Required)

Please provide a brief background of your involvement with polocrosse:(Required)

Signature(Required)

Printed Name(Required)

First Last

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