Participant Application Form

  • Participant's Information

  • Tell us more about your child!

  • Parent Information

  • Medical & Emergency Information

    A. In case of an emergency when neither parent can be reached please provide the name of a person who will assume responsibility for your child. B. If parents cannot be reached and emergency medical advice is required, permission is granted to The Friendship Circle staff to contact my child's physician. C. In case of a medical emergency where immediate medical care is necessary, I authorize the paramedics to take my child to the nearest hospital.
  • Programs

  • Parental Permission

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