Famille lve /Student family Host family/Famille daccueil yce fran!ais d"rlande# Student family HostFamily: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ %ddress: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Home &elephone: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 'o(ile )Father*: +$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 'o(ile )'other*: ++++$$++++++++ ,mail: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ ,tudiant :$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ -om .adresse de la famille:$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ &l )dom*: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Porta(le )pre*: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Porta(le )mre*:$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ ,mail parents :++++++++++++++++$ ,mail lve : ++++++++++++++++++
Payment Details / Dtails de paiement Rate per week/&au/ par semaine:+++ +++++$$ Payment by bank transfer before the end of the month for the following month/Paiement par virement (ancaire fin de mois pour le mois suivant$ One full week notice before departure/ une semaine pleine de pravis en cas de dpart$ No Holiday payment applicable/Pas de Paiement pour les vacances si ltudiant nest pas l0
Host Family (an1 details: -ame and address of the (an1: ++$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ +++++++++++++++++++++++++++++++++++++++++++ "(an: ++++++++++++++++++++$$$++S2iftcode )code (ic*++++++$$$+++
Divers o "nternet access/ %ccs 0 internet 3es / -o o%utres conditions/ 4ther conditions:+++++++++++++++++$$ o "ndividual room / cham(re individuelle o Full (oard / Pension complte For the student and his family/ ,tudiant5Famille: For the host family/Pour la famille daccueil: 67accepte de suivre les rgles de vie de ma famille d7accueil/ " agree to follo2 the house rules of my host family
" underta1e to provide a 2arm and safe home environment for my student and one 2hich 2ill encourage him/her linguistic development/ 68assure procurer un environnement chaleureu/. s9r et propice au dveloppement linguisti:ue$
; " confirm that " have read and agree 2ith the a(ove and appendages/ 6ai lu et <approuve les termes de ce contrat$ ; 6ai t inform :uen cas de suspension scolaire de mon enfant suprieure 0 deu/ <ours. les conditions de son h(ergement ntaient pas garanties/ "n case of the student (eing suspended for more than t2o days. his/her stay for the period of the suspension is not guaranteed
; es deu/ familles sengagent 0 avoir une couverture dassurance correcte$=oth families must (e properly insured$ Signature
>>>>>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>>>>>> ,lve/Student Students parents/Parents dlve Host family/ Famille daccueil ?ate: ?ate: ?ate: &he conditions upon 2hich a student 2ill reside 2ith a host family are for negotiation (et2een the guardians or parents of the student and the host family$ &he F" and its staff accept no responsi(ility for any claim. demand. loss. damage. lia(ility. costs and e/penses 2hatsoever sustained (y reason of or arising in any 2ay directly or indirectly from the placement of a student 2ith a host family$ es conditions de s<our de ltudiant dans une famille daccueil sont d dtermines par un dialogue entre les reprsentants lgau/ ou parents de ltudiant et la famille daccueil$ e F" et/ou ses agents dcline toute responsa(ilit en cas de plaintes. rclamations. pertes. dommages. dettes. co9ts et dpenses. :uels :uils soient. lis. directement ou indirectement. 0 laccueil dun tudiant par sa famille daccueil$