How to fill out Mid-Pacific Homestay Forms

Form 1: Homestay Agreement (Page 1 of 3)

Please fill out boxes in pink.

Form 1: Homestay Agreement (Page 2 of 3)

Please fill out boxes in pink.

Form 1: Homestay Agreement (Page 3 of 3)

Please fill out boxes in pink.

Form 2: Medical Power of Attorney

Please fill out at Notary Service. Options for Notarization:

  1. If the parent(s) is in Hawaii, the forms may be notarized at a bank by a notary public. $5 fee for each notarial service.
  2. If the parent(s) is not in Hawaii, the forms may be notarized at any U.S. Embassy or Consulate in their home country.$50 fee for each notarial service.
  3. If the parent(s) is living in one of the following regions under the Hague Apostille Convention (Hong Kong, Macao, Japan, Korea), the forms may be notarized by a local foreign notary in their home country with the attachment of an internationally recognized apostille.

Form 3: Liability and Permission Form (Page 1 of 2)

Please fill out boxes in pink.

Form 3: Liability and Permission Form (Page 2 of 2)

Please fill out boxes in pink.