Reservation Request

Your Personal Information*

Family Name*

Given Name*

Date of Birth*

Citizenship*

Gender*

Mobile Number Country Code*

Mobile Number*

Other Number Country Code*

Other Number*

Email Address*

How do you prefer to be contacted?*

Emergency Contact Name*

Emergency Contact Mobile Number Country Code*

Emergency Contact Mobile Number*

Emergency Contact Email Address*

School/Work*

How did you hear about our services?*

Are you a minor? (less than 18 years old)*

Parent Personal Information*

Parent Family Name*

Parent Given Name*

Relationship*

Parent Mobile Number Country Code*

Parent Mobile Number*

Parent Other Number Country Code*

Parent Other Number*

Parent Email Address*

How do you prefer to be contacted (Parent)?*

Canada Legal Guardian Personal Information*

As a minor you might be required to have a Legal Guardian in Canada

Do you already have a Legal Guardian in Canada?*

Upload document proving Canada Legal Guardian Registration*

Only PDF, JPG, JPEG format. Maximum 1 MB

If you don't have Canadian Legal Guardian, we can provide this service*

Legal Guardian Request*

I request Lamimo Legal Guardianship for minors service (200 CA$ for Registration + 5 CA$ / Day)

Note: if you do not have a Canadian Minor Legal Guardian and decide not to use Lamimo Legal Guardianship for Minors service, you will need to send us the Canada Legal Guardian proof of registration before your reservation can be confirmed.

Country of Residence Permanent Address*

Street Address*

City*

Province/State/Region*

Postal Code*

Country*

Accommodation Period*

From*

To*

Accommodation Type*

Residence Preferences*

Residence Room Type*

If you wish to share your room with someone you know, provide the name below:

Person Full Name*

If you wish to share your room with someone you know, provide the name below:

1st Person Full Name*

2nd Person Full Name*

Other important information we should know about you*

Homestay Preferences*

Number of Meals*

Hosting Family Language*

Can you live with a family with:*

Smokers*

Dog*

Cat*

More information about you:*

I smoke*

I am a vegetarian*

I am a vegan*

I am allergic to cats*

I am allergic to dogs*

Homestay Private Bathroom Request*

I would like to have a private bathroom (10 CA$ / day)

Note: This option is not always available and cannot be guaranteed

Other important information we should know about you*

Shared Apartment Preferences*

Shared Apartment Room Type*

Provide the name of the person sharing the room with you

Person Full Name*

More information about you:*

I am allergic to cats*

I am allergic to dogs*

Shared Apartment Private Bathroom Request*

I would like to have a private bathroom (10 CA$ / day)

Note: This option is not always available and cannot be guaranteed

Other important information we should know about you*

Additional Services Request*

Arrival Pickup Request*

I request Montreal Arrival Pickup (120 CA$) (Plane/Train/Bus)

Arrival Transportation Type*

Arrival Transporter Name*

Arrival Travel Number*

Last Departure City to Montreal*

Montreal Arrival Date*

Montreal Arrival Time*

Departure Drop-off Request*

I request Montreal Departure Drop-off (80 CA$) (Plane/Train/Bus)

Departure Transportation Type*

Departure Transporter Name*

Departure Travel Number*

Montreal Drop-off Date*

Montreal Drop-off Time*

I hereby declare that all the above information is true and correct

TERMS OF PAYMENTS:*

- Upon reception of this completed reservation request form, we will send you an accommodation confirmation and an invoice.

- The full Registration Fee, Service Fees (If selected) and up to 1 month Accommodation Fee are due upon receiving the invoice to validate and confirm the reservation.

- Accommodation Fees and Service Fees (if selected) are refundable with a minimum of 4 weeks cancelation notice

I accept the Terms and Conditions and Privacy Policy of Lamimo.com and La Maison Internationale de Montréal *