Guest Registration Form Full Name* Email - (internal use only)* Phone — Please include area code - (internal use only)* Current Address - (internal use only)* Age* Gender* Occupation/Employer* Create a name for your listing (eg. Young couple seeking site for a moveable home)* Please share more about yourself and the HomeShare opportunity you are seeking — describe your ideal space and living arrangement, any unique skills or qualities you bring, and anything else you would like to share. You may also include any requests or proposed agreements for your listing.* What is your preferred rental type? Select one option that best applies *Entire HomeSuiteCabin (under 600 sq. ft.)Bedroom with shared amenitiesMobile Home or RVSite for moveable homeSite to build a permanent homeShared Home Ownership / Land What other types of rentals are you open to? Select all that apply. *Entire HomeSuiteCabin (under 600 sq. ft.)Bedroom with shared amenitiesMobile Home or RVSite for moveable homeSite to build a permanent homeShared Home Ownership / Land Annual household income (line 1500 on your combined tax returns): - (internal use only) *< $30 000$30 000 - $69 000$70 000 - $99 0000$100 000+ How many people are in your household? *Select...12345+ How many bedrooms do you need? *Select...12345+ Would you be open to provide assistance around the home/property in exchange for a rental subsidy? *Select...YesNo If yes, which tasks would you like help with? Select all that apply. *CleaningGardeningYardworkFirewoodRepairsCookingErrandsChildcareOther Up to what amount of rent you are able to pay? - (internal use only)* How long of a rental term are you seeking? *Select Rental Term...Month-to-month6 months1 yearOther If other than the above, please describe the rental term you are looking for. Do you have any pets? If so, please describe.* Please check the boxes that best represent you: *Smoker (tobacco, marijuana, vape)Non-smokerVegetarianVeganSober Do you have any medical conditions? If so, please describe. - (internal use only)* File(s) Public or Private Listing *I would like to create a public Homeshare Listing. All items labelled for internal use only will be kept private (they will not be published).I would like all of my information to be kept private, for internal matching purposes only. Please do not publish on the Homeshare Listings page.
