8th -12th Grade Volunteer Registration

Full Name*

First Name Last Name

E-mail*

Cell Number*

Area Code Phone Number

Birth Date*

Month Day Year

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School*

Grade*

Graduating Year*

Congregation*

Responsible Party*

Mom Dad

Father Name

First Name Last Name

E-mail

Cell Number

Area Code Phone Number

Occupation

Mother Name

First Name Last Name

E-mail

Cell Number

Area Code Phone Number

Occupation

I'm interested in volunteering for:*

Virtual Friends at Home Virtual Torah Circle Social Distant Group Events Social Distant Friends at Home Prepare and drop off Packages Virtual Team Friendship

If you already have a friends at home buddy- please write their name (virtual or social distant)

I hereby give my son/daughter permission to participate in Friendship Circle programs.*

Consent

I permit my son/daughter's photo to be used for publicity purposes.*

Consent

I hereby release the Friendship Circle, its providers and administrators from ALL liability resulting from any incident which affects the health, welfare or safety of my child while participating in a Friendship Circle program for the year 2020-21*

Consent

Comments

8th -12th Grade Volunteer Registration

8th- 12th Grade Volunteer Information

Parent Information

Programs

Parental Permission

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