Friendship Circle Registration

Are you signing your child up or to be a volunteer?*

If you are registering as a mentor (volunteer), your parent/guardian's contact information is required if you are under the age of 18. If you are over the age of 18, please CLICK HERE to complete the Over-18 registration form.

 

The Under-18 volunteer registration information is at the bottom of this form.

Parent/Guardian Contact Information

Country*
Email Address*
Confirm Email Address*
Phone Number*
Cell Phone Number
Alternate Parent/Guardian's Name
Alternate Parent/Guardian Email Address
Alternate Parent/Guardian's Phone Number

Participant's Information

Participant Name
Participant's Birthday
School
Grade
Special Needs?
Communication Clarify
Activities Enjoyed
Activities Not Enjoyed
Best Motivator
Does the participant occasionally exhibit any of the following behaviors?

If "Other" was selected, please list the behavior in the "Comments" section at the bottom of this form.

Allergies
Day/Time Preferences for Home Visits

Volunteer Information

Name
Date of Birth
Grade
School Attending in 2020/2021
Phone Number
Email Address
Availability (Check all that apply)
What programs are you interested in?
What does Friendship mean to you?
Additional Comments

Security

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