Sign Up to Volunteer - Friendship Circle

Friendship Circle

www.FriendshipCircleOC.org

Afternoon of Appreciation

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FriendshipCircleOC.org » Volunteers » Sign Up to Volunteer

Volunteer Information
First Name		Last Name
Birthday		Address
City		State
Zip		Home Phone
Cell Phone		Email
School		Religion
Grade

Parent Contact Information
Mother's Name		Father's Name
Mother's Email		Father's Email
Mother's Cell		Father's Cell
Mother's Occupation		Father's Occupation
Synagogue Affiliation		Parent's Marital Status

Additional Information
When would you like to volunteer at the home of a child with special needs?
First Choice: Day of the Week		Time
Second Choice: Day of the Week		Time

Do you have a friend with whom you would like to volunteer
Friends Name		Phone Number
Where did you hear about Friendship Circle

Are you parent's available to drive you to or from the child's home? (to)
(from)

Please list one reference who is not a relative. (For New FC Volunteers Only)
Name		Relationship
Phone


Medical Information
In case of an emergency, when neither parent can be reached, please provide the name of someone who will take responsibility for your teen
Name		Relation
Phone
In case of medical emergency requiring immediate emergency care, I authorize the paramedics to take my child to the nearest hospital if necessary
Health Insurance Name		Number
Allergies
Medical Concerns


Volunteer Agreement
	In the event that I am unable to volunteer I will try to find another day to substitute and I will call my special friend in advance
	I will send in a report after every time I volunteer
	In the event of a volunteer function I will try my hardest to attend however, regardless, I will always respond.

Parental Consent
I give my teen permission to volunteer in the Friendship Circle
I give permission for my teen's photo/s to be used for publicity purposes.
I (Parent of the Volunteer), would be interested in assisting the Friendship Circle in future Events

What Programs Interest You?
Sunday Circle: Join us for 2 hours of fun and entertainment with a young child with special needs. At each Sunday Circle, you will join your buddy in an art class, play time and music. NOTE: Punctuality and commitment are very important!
Friends @ Home - Volunteers get together with their special needs buddy in the child's home for 1.5 hrs. every week. This program provides the opportunity for teens to get to know their friend with special needs on a more personal level and build a relationship that last forever!
Winter/Summer Camp - Join us for an experience that will last a lifetime! At the FC Winter/Summer Camps you will transform your vacation as well as the vacation of a child with special needs into an exciting camp experience with fun-filled activities, games, sports and field trips. Commitment: 5.5 hrs. each day for one week per camp.
Holiday Programs
Picnics in the Park
Shabbat Dinners