Brothers Around the World                            Host Family Intake Form
CBHS Exchange Program with Colegio LaSalle of San Jose, Costa Rica
Memphis, January 15- February 1
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Email *
Name and grade of son(s) currently attending CBHS *
Please list all family members currently living in the home. Include first and last names, and ages of children. *
Mailing Address *
Preferred host parent email address(es) and cell phone number(s) *
Preferred CBHS host student email address(es) and cell phone number(s) *
This year we have the an opportunity for two families to host 2 seniors for the entire spring semester.  This would be from January 6 to May 9th.  Would your family be willing to host for a semester? *
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