First Name:
Last Name:
Phone Number:
Email Address:

How many people can you host?
Do you have a cat or a dog?

Can you provide transportation for your guests? Yes No
Is PLEX easily accessible by transit from your house? Yes No
Do you live walking distance to PLEX? Yes No

Smoking status of your house: Non-Smoking Smoking No Preference

Alcohol consumption: Yes No No Preference

First day you can host:
Before Friday Friday Saturday Sunday

Last day you can host:
Friday Saturday Sunday After Sunday

Comments: