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Contrat familles daccueil/ Contract host family

Signature process /Procdure de signature :


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$

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