{"id":18351,"date":"2018-07-03T21:49:38","date_gmt":"2018-07-03T13:49:38","guid":{"rendered":"https:\/\/www.auzziefamilies.com\/?page_id=18351"},"modified":"2020-01-25T15:49:25","modified_gmt":"2020-01-25T07:49:25","slug":"host-application-form","status":"publish","type":"page","link":"https:\/\/www.auzziefamilies.com\/host-application-form\/","title":{"rendered":"HOST APPLICATION"},"content":{"rendered":"<div class=\"td-entry-content\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework two-column_wrapper titan-contact-form_wrapper clearfix_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_11' style='display:none'><div id='gf_11' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_11' id='gform_11' class='two-column titan-contact-form clearfix' action='\/wp-json\/wp\/v2\/pages\/18351#gf_11' data-formid='11' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_11_7\" class=\"gfield gfield--type-html intro-text gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_7\" ><div class=\"heading\">Host Application<\/div>\n\nPLEASE COMPLETE THE FORM PROVIDING AS MUCH INFORMATION AS POSSIBLE <br\/>\n*If you are running a family Day Care Centre registered or private please contact our office prior to completing the online application.<\/li><li id=\"field_11_9\" class=\"gfield gfield--type-select location half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_9\" ><label class='gfield_label gform-field-label' for='input_11_9'>Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_11_9' class='medium gfield_select' tabindex='1000'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Adelaide' >Adelaide<\/option><option value='Brisbane' >Brisbane<\/option><option value='Melbourne' >Melbourne<\/option><option value='Sydney' >Sydney<\/option><\/select><\/div><\/li><li id=\"field_11_10\" class=\"gfield gfield--type-select accom_type half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_10\" ><label class='gfield_label gform-field-label' for='input_11_10'>Accommodation type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_11_10' class='medium gfield_select' tabindex='1001'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Homestay' >Homestay<\/option><option value='Self Catering' >Self Catering<\/option><option value='Granny flat' >Granny flat<\/option><option value='Home Nomination' >Home Nomination<\/option><\/select><\/div><\/li><li id=\"field_11_11\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_11\" ><div class=\"heading\">Personal Details - Main Host<\/div><\/li><li id=\"field_11_12\" class=\"gfield gfield--type-select title one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_12\" ><label class='gfield_label gform-field-label' for='input_11_12'>Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_11_12' class='medium gfield_select' tabindex='1002'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Mrs.' >Mrs.<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Dr.' >Dr.<\/option><\/select><\/div><\/li><li id=\"field_11_13\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_13\" ><label class='gfield_label gform-field-label' for='input_11_13'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_11_13' type='text' value='' class='medium'   tabindex='1003'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_14\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_14\" ><label class='gfield_label gform-field-label' for='input_11_14'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_11_14' type='text' value='' class='medium'   tabindex='1004'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_118\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_118\" ><label class='gfield_label gform-field-label' for='input_11_118'>Preferred Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_118' id='input_11_118' type='text' value='' class='medium'   tabindex='1005'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_19\" class=\"gfield gfield--type-text birthdate calendar one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_19\" ><label class='gfield_label gform-field-label' for='input_11_19'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_11_19' type='text' value='' class='medium'   tabindex='1006' placeholder='dd\/mm\/yyyy' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_25\" class=\"gfield gfield--type-html note gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_25\" >Must be dd\/mm\/yyyy<\/li><li id=\"field_11_15\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_15\" ><label class='gfield_label gform-field-label' for='input_11_15'>Occupation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_11_15' type='text' value='' class='medium'   tabindex='1007'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_17\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_17\" ><label class='gfield_label gform-field-label' for='input_11_17'>Home Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_11_17' type='text' value='' class='medium'   tabindex='1008'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_18\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_18\" ><label class='gfield_label gform-field-label' for='input_11_18'>Mobile Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_11_18' type='text' value='' class='medium'   tabindex='1009'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_2\" class=\"gfield gfield--type-email email one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_2\" ><label class='gfield_label gform-field-label' for='input_11_2'>E-mail Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_11_2' type='email' value='' class='medium' tabindex='1010'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_11_21\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_21\" ><label class='gfield_label gform-field-label' for='input_11_21'>Other Languages Spoken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_11_21' type='text' value='' class='medium'   tabindex='1011'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_129\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_129\" ><label class='gfield_label gform-field-label' for='input_11_129'>Religion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_11_129' type='text' value='' class='medium'   tabindex='1012'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_20\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_20\" ><label class='gfield_label gform-field-label' for='input_11_20'>Smoker<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_11_20' class='medium gfield_select' tabindex='1013'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_27\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_27\" ><label class='gfield_label gform-field-label' for='input_11_27'>WWCC\/BC Number (If known)<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_11_27' type='text' value='' class='medium'   tabindex='1014'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_26\" class=\"gfield gfield--type-html note gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_26\" >WWCC \/ BC If you have a WWCC \/ BC please enter the details below<\/li><li id=\"field_11_28\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_28\" ><label class='gfield_label gform-field-label' for='input_11_28'>Issue Date<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_11_28' type='text' value='' class='medium'   tabindex='1015'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_95\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_95\" ><label class='gfield_label gform-field-label' for='input_11_95'>Expiry Date<\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_11_95' type='text' value='' class='medium'   tabindex='1016'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_31\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_31\" ><div class=\"heading\">Address<\/div><\/li><li id=\"field_11_30\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_30\" ><label class='gfield_label gform-field-label' for='input_11_30'>Street Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_11_30' type='text' value='' class='medium'   tabindex='1017'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_33\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_33\" ><label class='gfield_label gform-field-label' for='input_11_33'>Suburb<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_11_33' type='text' value='' class='medium'   tabindex='1018'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_107\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_107\" ><label class='gfield_label gform-field-label' for='input_11_107'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_11_107' class='medium gfield_select' tabindex='1019'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='New South Wales' >New South Wales<\/option><option value='Queensland' >Queensland<\/option><option value='South Australia' >South Australia<\/option><option value='Tasmania' >Tasmania<\/option><option value='Victoria' >Victoria<\/option><option value='Western Australia' >Western Australia<\/option><option value='Northern Terriroty' >Northern Terriroty<\/option><option value='Australian Capital Territory' >Australian Capital Territory<\/option><\/select><\/div><\/li><li id=\"field_11_35\" class=\"gfield gfield--type-text one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_35\" ><label class='gfield_label gform-field-label' for='input_11_35'>Post Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_11_35' type='text' value='' class='medium'   tabindex='1020'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_37\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_37\" ><div class=\"heading\">Current Household Members<\/div><\/li><li id=\"field_11_116\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_116\" >Do you have a partner, children, or any other people who live with you? If yes, please add their details below:<\/li><li id=\"field_11_117\" class=\"gfield gfield--type-checkbox gfield--type-choice enable field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_117\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Click the box to add child \/ other resident<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_117'><li class='gchoice gchoice_11_117_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_117.1' type='checkbox'  value='\u00a0enable'  id='choice_11_117_1' tabindex='1021'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_117_1' id='label_11_117_1' class='gform-field-label gform-field-label--type-inline'>\u00a0enable<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_108\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_108\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >List<\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_108_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_108_col_2' class='gfield_list_col_even' \/><col id='gfield_list_108_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_108_col_4' class='gfield_list_col_even' \/><col id='gfield_list_108_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_108_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Name<\/th><th scope=\"col\">DOB<\/th><th scope=\"col\">Gender<\/th><th scope=\"col\">Relationship<\/th><th scope=\"col\">Occupation<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_108_cell1' data-label='Name'><input aria-invalid='false'   aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_108[]' value='' tabindex='1022'  \/><\/td><td class='gfield_list_cell gfield_list_108_cell2' data-label='DOB'><input aria-invalid='false'   aria-label='DOB, Row 1' data-aria-label-template='DOB, Row {0}' type='text' name='input_108[]' value='' tabindex='1023'  \/><\/td><td class='gfield_list_cell gfield_list_108_cell3' data-label='Gender'><select title='Gender'name='input_108[]' tabindex='1024'  aria-invalid='false'   aria-label='Gender, Row 1' data-aria-label-template='Gender, Row {0}'><option value='Female' >Female<\/option><option value='Male' >Male<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_108_cell4' data-label='Relationship'><select title='Relationship'name='input_108[]' tabindex='1025'  aria-invalid='false'   aria-label='Relationship, Row 1' data-aria-label-template='Relationship, Row {0}'><option value='Spouse\/Partner' >Spouse\/Partner<\/option><option value='Child' >Child<\/option><option value='Grandparent' >Grandparent<\/option><option value='Other Relative' >Other Relative<\/option><option value='Friend' >Friend<\/option><option value='Boarder' >Boarder<\/option><option value='Other' >Other<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_108_cell5' data-label='Occupation'><input aria-invalid='false'   aria-label='Occupation, Row 1' data-aria-label-template='Occupation, Row {0}' type='text' name='input_108[]' value='' tabindex='1026'  \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_11_119\" class=\"gfield gfield--type-checkbox gfield--type-choice enable pet-checkbox field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_119\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have any pets?     If yes, click here to add pets<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_119'><li class='gchoice gchoice_11_119_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_119.1' type='checkbox'  value='\u00a0enable'  id='choice_11_119_1' tabindex='1027'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_119_1' id='label_11_119_1' class='gform-field-label gform-field-label--type-inline'>\u00a0enable<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_50\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_50\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >List<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_50_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_50_col_2' class='gfield_list_col_even' \/><col id='gfield_list_50_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_50_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Type of pet<\/th><th scope=\"col\">Name<\/th><th scope=\"col\">Breed<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_50_cell1' data-label='Type of pet'><input aria-invalid='false'   aria-label='Type of pet, Row 1' data-aria-label-template='Type of pet, Row {0}' type='text' name='input_50[]' value='' tabindex='1028'  \/><\/td><td class='gfield_list_cell gfield_list_50_cell2' data-label='Name'><input aria-invalid='false'   aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_50[]' value='' tabindex='1029'  \/><\/td><td class='gfield_list_cell gfield_list_50_cell3' data-label='Breed'><input aria-invalid='false'   aria-label='Breed, Row 1' data-aria-label-template='Breed, Row {0}' type='text' name='input_50[]' value='' tabindex='1030'  \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_11_44\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_44\" ><div class=\"heading\">Hosting Information<\/div><\/li><li id=\"field_11_46\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_46\" ><label class='gfield_label gform-field-label' for='input_11_46'>Gender preference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_11_46' class='medium gfield_select' tabindex='1031'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Either' >Either<\/option><\/select><\/div><\/li><li id=\"field_11_52\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_52\" ><label class='gfield_label gform-field-label' for='input_11_52'>Do you need the student to do their laundry?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_11_52' class='medium gfield_select' tabindex='1032'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_109\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_109\" ><label class='gfield_label gform-field-label' for='input_11_109'>Do you need the student to do household chores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_109' id='input_11_109' class='medium gfield_select' tabindex='1033'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_45\" class=\"gfield gfield--type-select hosted-before one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_45\" ><label class='gfield_label gform-field-label' for='input_11_45'>Do you have previous hosting experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_11_45' class='medium gfield_select' tabindex='1034'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_51\" class=\"gfield gfield--type-checkbox gfield--type-choice checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_51\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Type of food cooked in home<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_51'><li class='gchoice gchoice_11_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='Asian'  id='choice_11_51_1' tabindex='1035'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_1' id='label_11_51_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='Kosher'  id='choice_11_51_2' tabindex='1036'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_2' id='label_11_51_2' class='gform-field-label gform-field-label--type-inline'>Kosher<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='Vegetarian'  id='choice_11_51_3' tabindex='1037'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_3' id='label_11_51_3' class='gform-field-label gform-field-label--type-inline'>Vegetarian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='Gluten Free'  id='choice_11_51_4' tabindex='1038'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_4' id='label_11_51_4' class='gform-field-label gform-field-label--type-inline'>Gluten Free<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.5' type='checkbox'  value='Modern Western'  id='choice_11_51_5' tabindex='1039'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_5' id='label_11_51_5' class='gform-field-label gform-field-label--type-inline'>Modern Western<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.6' type='checkbox'  value='Vegan'  id='choice_11_51_6' tabindex='1040'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_6' id='label_11_51_6' class='gform-field-label gform-field-label--type-inline'>Vegan<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_51_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.7' type='checkbox'  value='Halal'  id='choice_11_51_7' tabindex='1041'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_51_7' id='label_11_51_7' class='gform-field-label gform-field-label--type-inline'>Halal<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_54\" class=\"gfield gfield--type-checkbox gfield--type-choice checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_54\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Hobbies \/ Interests<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_54'><li class='gchoice gchoice_11_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='Sport - Playing'  id='choice_11_54_1' tabindex='1042'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_1' id='label_11_54_1' class='gform-field-label gform-field-label--type-inline'>Sport - Playing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='Computer Game'  id='choice_11_54_2' tabindex='1043'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_2' id='label_11_54_2' class='gform-field-label gform-field-label--type-inline'>Computer Game<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.3' type='checkbox'  value='Reading'  id='choice_11_54_3' tabindex='1044'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_3' id='label_11_54_3' class='gform-field-label gform-field-label--type-inline'>Reading<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.4' type='checkbox'  value='Outdoors - Beach, walking'  id='choice_11_54_4' tabindex='1045'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_4' id='label_11_54_4' class='gform-field-label gform-field-label--type-inline'>Outdoors - Beach, walking<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.5' type='checkbox'  value='Dancing'  id='choice_11_54_5' tabindex='1046'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_5' id='label_11_54_5' class='gform-field-label gform-field-label--type-inline'>Dancing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.6' type='checkbox'  value='Watching TV \/ Netflix'  id='choice_11_54_6' tabindex='1047'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_6' id='label_11_54_6' class='gform-field-label gform-field-label--type-inline'>Watching TV \/ Netflix<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.7' type='checkbox'  value='Play Musical Instrument'  id='choice_11_54_7' tabindex='1048'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_7' id='label_11_54_7' class='gform-field-label gform-field-label--type-inline'>Play Musical Instrument<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.8' type='checkbox'  value='Movies'  id='choice_11_54_8' tabindex='1049'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_8' id='label_11_54_8' class='gform-field-label gform-field-label--type-inline'>Movies<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.9' type='checkbox'  value='Time with Friends'  id='choice_11_54_9' tabindex='1050'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_9' id='label_11_54_9' class='gform-field-label gform-field-label--type-inline'>Time with Friends<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.11' type='checkbox'  value='Shopping'  id='choice_11_54_11' tabindex='1051'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_11' id='label_11_54_11' class='gform-field-label gform-field-label--type-inline'>Shopping<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_54_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.12' type='checkbox'  value='Gym'  id='choice_11_54_12' tabindex='1052'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_54_12' id='label_11_54_12' class='gform-field-label gform-field-label--type-inline'>Gym<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_55\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_55\" ><div class=\"heading\">Home Details<\/div><\/li><li id=\"field_11_56\" class=\"gfield gfield--type-select one-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_56\" ><label class='gfield_label gform-field-label' for='input_11_56'>Home type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_11_56' class='medium gfield_select' tabindex='1053'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Freestanding House' >Freestanding House<\/option><option value='House with Granny Flat' >House with Granny Flat<\/option><option value='Terrace \/ Townhouse' >Terrace \/ Townhouse<\/option><option value='Unit \/ Apartment' >Unit \/ Apartment<\/option><\/select><\/div><\/li><li id=\"field_11_57\" class=\"gfield gfield--type-select one-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_57\" ><label class='gfield_label gform-field-label' for='input_11_57'>Home condition is<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_11_57' class='medium gfield_select' tabindex='1054'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='New' >New<\/option><option value='Renovated' >Renovated<\/option><option value='Older Style' >Older Style<\/option><\/select><\/div><\/li><li id=\"field_11_120\" class=\"gfield gfield--type-select one-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_120\" ><label class='gfield_label gform-field-label' for='input_11_120'>Home is<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_11_120' class='medium gfield_select' tabindex='1055'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Owned' >Owned<\/option><option value='Leased with current contract' >Leased with current contract<\/option><option value='Leased without current contract' >Leased without current contract<\/option><option value='Leased privately' >Leased privately<\/option><\/select><\/div><\/li><li id=\"field_11_59\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_59\" ><label class='gfield_label gform-field-label' for='input_11_59'>Total No. of bedrooms in home<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_11_59' class='medium gfield_select' tabindex='1056'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><\/select><\/div><\/li><li id=\"field_11_121\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_121\" ><label class='gfield_label gform-field-label' for='input_11_121'>No. of bedrooms available for students<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_11_121' class='medium gfield_select' tabindex='1057'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/div><\/li><li id=\"field_11_110\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_110\" ><label class='gfield_label gform-field-label' for='input_11_110'>Total No. of bathrooms in home<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_110' id='input_11_110' class='medium gfield_select' tabindex='1058'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><\/select><\/div><\/li><li id=\"field_11_122\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_122\" ><label class='gfield_label gform-field-label' for='input_11_122'>No. of bathrooms for student use<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_11_122' class='medium gfield_select' tabindex='1059'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/div><\/li><li id=\"field_11_123\" class=\"gfield gfield--type-checkbox gfield--type-choice enable field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_123\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Click the box to add student bedroom details<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_123'><li class='gchoice gchoice_11_123_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_123.1' type='checkbox'  value='\u00a0enable'  id='choice_11_123_1' tabindex='1060'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_123_1' id='label_11_123_1' class='gform-field-label gform-field-label--type-inline'>\u00a0enable<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_125\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_125\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >List<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_125_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_125_col_2' class='gfield_list_col_even' \/><col id='gfield_list_125_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_125_col_4' class='gfield_list_col_even' \/><col id='gfield_list_125_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_125_col_6' class='gfield_list_col_even' \/><col id='gfield_list_125_col_7' class='gfield_list_col_odd' \/><col id='gfield_list_125_col_8' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Room no:<\/th><th scope=\"col\">Size &nbsp;<\/th><th scope=\"col\">Bed size<\/th><th scope=\"col\">Bathroom<\/th><th scope=\"col\">Occupied<\/th><th scope=\"col\">Available date<\/th><th scope=\"col\">Room facilities<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_125_cell1' data-label='Room no:'><select title='Room no:'name='input_125[]' tabindex='1061'  aria-invalid='false'   aria-label='Room no:, Row 1' data-aria-label-template='Room no:, Row {0}'><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_125_cell2' data-label='Size &nbsp;'><select title='Size &nbsp;'name='input_125[]' tabindex='1062'  aria-invalid='false'   aria-label='Size &nbsp;, Row 1' data-aria-label-template='Size &nbsp;, Row {0}'><option value='Single' >Single<\/option><option value='Double' >Double<\/option><option value='Twin' >Twin<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_125_cell3' data-label='Bed size'><select title='Bed size'name='input_125[]' tabindex='1063'  aria-invalid='false'   aria-label='Bed size, Row 1' data-aria-label-template='Bed size, Row {0}'><option value='Single' >Single<\/option><option value='King single' >King single<\/option><option value='Double' >Double<\/option><option value='Queen' >Queen<\/option><option value='Twin' >Twin<\/option><option value='Bunk' >Bunk<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_125_cell4' data-label='Bathroom'><select title='Bathroom'name='input_125[]' tabindex='1064'  aria-invalid='false'   aria-label='Bathroom, Row 1' data-aria-label-template='Bathroom, Row {0}'><option value='Shared with family' >Shared with family<\/option><option value='Shared with the students' >Shared with the students<\/option><option value='Ensuite' >Ensuite<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_125_cell5' data-label='Occupied'><select title='Occupied'name='input_125[]' tabindex='1065'  aria-invalid='false'   aria-label='Occupied, Row 1' data-aria-label-template='Occupied, Row {0}'><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_125_cell6' data-label='Available date'><input aria-invalid='false'   aria-label='Available date, Row 1' data-aria-label-template='Available date, Row {0}' type='text' name='input_125[]' value='' tabindex='1066'  \/><\/td><td class='gfield_list_cell gfield_list_125_cell7' data-label='Room facilities'><input aria-invalid='false'   aria-label='Room facilities, Row 1' data-aria-label-template='Room facilities, Row {0}' type='text' name='input_125[]' value='' tabindex='1067'  \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 4)' onkeypress='gformAddListItem(this, 4)'><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 4)' onkeypress='gformDeleteListItem(this, 4)' style=\"visibility:hidden;\"><img src='https:\/\/www.auzziefamilies.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_11_130\" class=\"gfield gfield--type-textarea paragraph field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_130\" ><label class='gfield_label gform-field-label' for='input_11_130'>Other facilities available<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_130' id='input_11_130' class='textarea medium' tabindex='1068'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_131\" class=\"gfield gfield--type-textarea paragraph gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_131\" ><label class='gfield_label gform-field-label' for='input_11_131'>Please describe your home<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_131' id='input_11_131' class='textarea medium' tabindex='1069'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_132\" class=\"gfield gfield--type-textarea paragraph gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_132\" ><label class='gfield_label gform-field-label' for='input_11_132'>Please describe the main public transport available from your home<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_132' id='input_11_132' class='textarea medium' tabindex='1070'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_71\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_71\" ><div class=\"heading\">Payment Details<\/div>\n\nHomestay Fees are paid directly into your bank account. Please provide details:<\/li><li id=\"field_11_72\" class=\"gfield gfield--type-text half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_11_72\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_72'>Bank<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_11_72' type='text' value='' class='medium'   tabindex='1071'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_73\" class=\"gfield gfield--type-text half field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_11_73\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_73'>Branch<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_11_73' type='text' value='' class='medium'   tabindex='1072'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_76\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_11_76\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_76'>Account Name<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_11_76' type='text' value='' class='medium'   tabindex='1073'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_74\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_11_74\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_74'>BSB Number<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_11_74' type='text' value='' class='medium'   tabindex='1074'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_75\" class=\"gfield gfield--type-text one-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_11_75\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_75'>Account Number<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_11_75' type='text' value='' class='medium'   tabindex='1075'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_77\" class=\"gfield gfield--type-html heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_77\" ><div class=\"heading\">Public Liability & Home Content Insurance<\/div>\n<\/li><li id=\"field_11_78\" class=\"gfield gfield--type-select one-fourth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_78\" ><label class='gfield_label gform-field-label' for='input_11_78'>Do you have public liability Insurance?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_11_78' class='medium gfield_select' tabindex='1076'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_85\" class=\"gfield gfield--type-text one-fourth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_85\" ><label class='gfield_label gform-field-label' for='input_11_85'>Name of the Insurer<\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_11_85' type='text' value='' class='medium'   tabindex='1077'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_126\" class=\"gfield gfield--type-text one-fourth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_126\" ><label class='gfield_label gform-field-label' for='input_11_126'>Policy number<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_11_126' type='text' value='' class='medium'   tabindex='1078'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_86\" class=\"gfield gfield--type-text one-fourth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_86\" ><label class='gfield_label gform-field-label' for='input_11_86'>Covered amount<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_11_86' type='text' value='' class='medium'   tabindex='1079'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_112\" class=\"gfield gfield--type-select one-fifth gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_112\" ><label class='gfield_label gform-field-label' for='input_11_112'>Do you have home contents insurance?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_112' id='input_11_112' class='medium gfield_select' tabindex='1080'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select....<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_11_127\" class=\"gfield gfield--type-text one-fifth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_127\" ><label class='gfield_label gform-field-label' for='input_11_127'>Name of the insurer<\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_11_127' type='text' value='' class='medium'   tabindex='1081'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_113\" class=\"gfield gfield--type-text one-fifth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_113\" ><label class='gfield_label gform-field-label' for='input_11_113'>Policy number<\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_11_113' type='text' value='' class='medium'   tabindex='1082'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_114\" class=\"gfield gfield--type-text one-fifth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_114\" ><label class='gfield_label gform-field-label' for='input_11_114'>Covered amount<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_11_114' type='text' value='' class='medium'   tabindex='1083'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_128\" class=\"gfield gfield--type-text one-fifth field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_128\" ><label class='gfield_label gform-field-label' for='input_11_128'>Does your policy cover the boarder(s)?<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_11_128' type='text' value='' class='medium'   tabindex='1084'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_88\" class=\"gfield gfield--type-html notes gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_88\" >Note: Families taking overseas students must have compulsory public liability insurance.<\/li><li id=\"field_11_89\" class=\"gfield gfield--type-html heading declaration gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_89\" ><div class=\"heading\">Declaration<\/div>\n\n<ol>\n<li>I\/We understand the responsibilities and requirements of hosting an international student. <\/li>\n<li>I\/We understand that Auzzie Familes Homestay Care attempts to select bona fide students and cannot be held responsible for any undesirable or negligent actions of the student. <\/li>\n<li>I\/we approve Auzze Families Homestay Care to collect, hold & work with my personal records solely for the purpose of conducting homestay agency duites. <br\/>\nBy providing Auzzie Families Homestay Care with your personal information you consent to us collecting,disclosing,storing & using it in accorance with our Privacy Policy <br\/>\nYou have obtained prior consent to supply personal information of any other household members. <\/li>\n<li>We certify the answers given are true and correct to the best of our knowledge.<\/li>\n<\/ol><\/li><li id=\"field_11_134\" class=\"gfield gfield--type-textarea paragraph gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_134\" ><label class='gfield_label gform-field-label' for='input_11_134'>Please include an email address to send confirmation of this form submission<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_134' id='input_11_134' class='textarea medium' tabindex='1085'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_137\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_137\" >By submitting the form, I agree to the above declaration, responsibilities and requirements as advised by Auzzie Families Homestay Care as set out on their website.<\/li><li id=\"field_11_135\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_135\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_11_135'><\/label><div id='input_11_135' class='ginput_container ginput_recaptcha' data-sitekey='6LdNCHUUAAAAAGTjb90dR5b2fRylDqfXob2OQNC0'  data-theme='light' data-tabindex='1086'  data-badge=''><\/div><\/li><li id=\"field_11_6\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_6\" ><div class='ginput_container ginput_container_text'><input name='input_6' id='input_11_6' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/www.auzziefamilies.com\/wp-json\/wp\/v2\/pages\/18351' \/><\/div><\/li><li id=\"field_11_138\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_138\" 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