Registration Form

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Christian name

Surname

email address

Post Code

Phone Number

Location Type

City Large Town Small Town Residential Estate, Edge of Town Village Hamlet Middle of Nowhere!

Please give an overview of your immediate locality e.g:- quiet/busy road, type of landscape, close to sea/river, distance to nearest shops/eating places, local transport info, any specific features.

Property Type

Detached Semi-Detached Terraced 3-storey Bungalow Apartment/Flat Holiday Home Holiday Home - Static Caravan Other

How many bedrooms are available for house swappers?

• 1 Double
• 2 doubles
• 1 single
• 2 singles
• 1 twin with 2 single beds
• 1 twin with bunk beds
• other

If other, please describe.

Basic description of the other rooms in your home & amenities eg :- conservatory, downstairs loo, wifi, TV, Netflix, piano; any specific features, Also approximate age of house.

Basic description of your garden:- lawn, patio area, garden chairs, barbecue, garden toys / games, any specific features.

Smoking/vaping in your home

No Yes Only in the garden/outside space

How many people will be house-swapping?

• 1 adult
• 2 adults
• 3 adults
• 1 child
• 2 children
• 3 children
• more then 3 children

Is your home open to children or more suited for adults only ?

Families with Children Adults Only More suitable for adults but can consider children 12+

Please list your pets or write N/A

Would you like house-swappers to look after your cat or caged pets?

Yes Please! No Thank You! Not applicable

Would you like to bring your dog with you when you house-swap?

• Yes
• No
• Possibly
• Not applicable

Would you consider dog-owners bringing their dog with them when they house-swap?

• Yes
• No
• Possibly

Please describe any pet allergies or mobility issues you feel appropriate to a house-swap.

Any other general information that you think would be useful for house-swappers?

Name and website of your Church

Name and email address of your Church Leader

Approximate number in an average congregation

Local parks, childrens play area, sports facilities

What are some of your favourite places to go in your area, places that you recommend to house-swappers.

Do you need to swap in the school holidays?

Yes No I'm flexible

How did you hear about 'CHACS'

Finally, any other questions/comments?