Application for Host Family Program
Thank you for your interest in becoming a Host Family. You must complete both forms in order to be considered. You can either complete the form below or mail/fax in a copy of the PDF version. However, you must mail or fax a copy of the Host Family Disclosure & Authorization for Release of Information, regardless of how you complete the Host Family Application. Please mail information to: Today’s Harbor for Children • 514 Bayridge Rd. • La Porte, TX 77571 • Fax: 281-471-0881.
For more information, please contact our Host Family Coordinator, Arianna Strain, at email@example.com or (281) 471-9622 ext 108.
**I agree to abide by the policies of Today’s Harbor for Children and The Texas Family Code, section 34.01 which states you will not use alternative forms of discipline, nor physical discipline, and will not leave the child/children unattended at any time.