Aloha Led Homestays

Apply to stay with us in Hawaii

First name

Last name

Your email address

Your phone number

Your line account

Gender

Date of birth

Home address

Occupation

What school do you attend in Japan?

Emergency contact name

Emergency contact relationship

Emergency contact phone

Emergency contact email

Are you OK to stay in a house with pets?

Are you OK to stay in a house with other children under 18?

Do you smoke?

Do you have any allergies?

If yes, please provide details of your allergies

What are some of your main interests and hobbies?

What school or program are you attending (or planning to attend) in Hawaii?

If you have booked your flights, please enter your details below. If not, please enter the dates you are intending to be in Hawaii for.

Arrival in hawaii

— :

Arriving flight number

Departure from hawaii

— :

Returning flight number

Would you like to be greeted at the airport? (Additional charge)

If available, would you like daily transport to school? (Additional charge)