Note:

Host families must provide a private room (can be shared by more than one hostee) and live in New Bern, Trent Woods, River Bend, or Fairfield Harbour.

Please fill out all applicable fields.

Interested in hosting	Player(s)
(check all that apply):	Coach(es)
	Male Intern
	Female Intern
Total # we can host:	1 2 3
Family name:
List all family members:
Street Address:
City:
State:
ZIP:
Primary Phone:
Alternate Phone:
Primary E-mail:
Alternate E-mail: