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CSDS Housing Request

(check all that apply)

Dates I'd like housing

I am willing to sleep in/on a host provided:

Bed
Sofa Bed
Couch
Futon
Futon Mattress on floor
Air Mattress on floor
Sleeping bag on floor
Floor
I can bring

I can not stay with a host that has:

Cats
Dogs
Fish
Bad hair
Any conditions host should know
First Name Last Name Email
Address City State Zip
Phone #