Host Family Registration Subscription

Please enter information on the form below to process subscription for Host Family Registration.

Username*

Password *

Retype Password *

LEIR is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using this website, then you can be assured that it will only be used in accordance with this Privacy Policy.

First Name *

Last Name *

Contact Number *

Email *

Confirm Email *

Marital Status *

Number of Children *

Age & gender of children

Children's Hobbies

Full Address *

Town / Location *

County *

Comment

How did you find us? *

Thank you for your interest in Leir Education. We are delighted you have decided to register with us, but please remember that this is NOT an application, but a membership registration to our private members area and once your account has been activated you can then enter using your login details and complete the process of applying and submit an 'Application to Host' if you have any questions please feel free to contact us. Please note this subscription is no longer ongoing. It is as of 25th May 2018 limited to a six-month duration after which time your membership will expire from date of registration. However, you will receive email notice of its expiration at 30, 20 and 10-day intervals, you can of course renew your membership at that time.

In order to submit the form you will need to offer specific consent *

Security Code*