Topeka Pilots Hockey 2019-20 Billet Family Application

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Thank you for your interest in becoming a billet family. The information gathered from this form will be used to help the billet coordinator match potential housing families with incoming players.

Host Father's DETAILS: Name, Employer, Cellular Telephone Number, Email Address *

Host Mother's DETAILS: Name, Employer, Cellular Telephone Number, Email Address *

Home Address *

Home Telephone Number *

Children (living in the home - Name(s), Sex, Age) *

Who else lives in your home with you (in addition to a spouse or children previously listed)? *

How much travel is required by host family's employer(s)? *

Little to none

Some

Frequent to often

What is the maximum number of spare bedroom spaces you have, in order for each player to have their own room? *

In addition to a permanently assigned player, would you be willing and able to house an additional player on a temporary/short term basis (player in town on tryout, other billet family out of town, etc.)? *

Yes

USA Hockey guidelines stipulate background checks to be conducted on all families that are part of our housing program. Would you object to having a background check on you and your family? *

Yes

Required

On occasion Topeka Pilot Hockey will recruit a player who is unable to pay the housing stipend. If the situation arises this year, would you be willing to house a player who does not pay the $300 monthly stipend? *

Yes

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