Application
for
"Dine with the Danes"

In order to match you with your host family - please fill in all details below. Thank you.
Party of : female  male

Age:

Party of: girls  boys

Age:
First name:
Surname:
Street:
Postal Code:
City:
Country:
Tel:
Fax:
E-mail:
Hobbies:
Profession:
Arrival date:
Arrival time:
Departure date:
Request for specific date:
Staying in Hotel  Camping  Youth hostel 
Staying in private home - c/o Name
Street:
Postal Code:
City:
Smoker: Yes No Allergies - Which?
Handicap (Wheelchair etc.) - Which?