Returning Participant Registration Form

Full Name

First Name Last Name

School (if applicable)

Grade (if applicable)

Please indicate any information which may have changed since last year i.e. phone number, address, medical information etc...

If my child participates in the Friends at Home program, I agree that a parent/guardian will be present in the home to supervise them.*

Consent

I permit my child's photo to be used for publicity purposes.

Consent

Where applicable, I permit my child to be transported by the Friendship Circle to or from activities.

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

Please choose the programs you would like to be apart of

virtual Friends at Home social distant Friends at Home social distant carnivals and programs garden birthday party for your child YAD (young adult division) zoom YAD Social Distant meet ups parent support groups moms/ dads Night In virtual Torah Circle

Comments

Returning Participant Registration Form

Returning Participant's Information

Parental Agreement

Programs

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