TEST Page Become a Host Family Please enable JavaScript in your browser to complete this form.Host Name: *FirstLastAddress *City *State *Zip Code *Primary Phone # *123-456-7890Secondary Phone #123-456-7890Email *Proximity to Course: Time *Proximity to Course: Distance *Directions to Course from House *Number of players you are willing to house? *Number of beds you have available? *Type of beds? *Number of bathrooms available? *Do you have any pets? *Select OneYesNoIf so, what type?Do you or anyone in your household smoke/vape? *YesNoPlease select the day you are willing to start housing players: *Select OneSunday (9/14)Monday (9/15)Tuesday (9/16)Wednesday (9/17)OtherIf Other, What Date?Other comments: **By submitting this application, you agree to the following: I have never been found guilty for, or entered a plea of guilty or of nolo contendere (i.e., no contest) to a crime determined to be a misdemeanor or felony (nor will I knowingly allow anyone in my home that has). I have never been judicially determined to have committed abuse or neglect against a person, child, or animal (nor will I knowingly allow anyone in my home that has). I will indemnify and hold harmless the Symetra Tour, Ladies Professional Golf Association, and each of their affliated, related, or owned companies and all other persons and entities from any and all claims, actions, suits, proceedings, costs, expenses, damages and liabilities (including attorneys fees) arising out of, connected with, or resulting from hosting a player. I offer my home freely and without pressure or coercion and there has been no promise of nor do I have an expectation of receiving compensation or other benefits. Additionally, my signature shall serve as authorization for the Tournament, the Symetra Tour, and/or a designated agency to perform a record information check, including but not limited to criminal and/or civil records, in connection with my housing application for the Tournament. My application may be rescinded or revoked, based upon data received in records information check report(s).Signature * Clear Signature Date *PhoneSubmit