Printed fromfcpalisades.com
ב"ה

Sunday Circle Sign-up

  • Child's Information:

  • Additional Contacts (In Case of Emergency):

  • Medical Information:

  • Parental Consent:

  • I have carefully considered the risks involved and agree to allow my child(ren) to participate in the activities with The Friendship Circle. I also understand that participation in these activities is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth by Friendship Circle. I understand that Friendship Circle is independently owned and operated. In consideration of the opportunity to send my child to The Friendship Circle, and by engaging in participation, I, myself, and on behalf of my child, hereby agree to release, hold harmless, and waive any and all claims against The Friendship Circle and its employees, directors, officers, and volunteers, as well as its affiliates and all other organizations associated with The Friendship Circle, from any and all claims or liability arising out of this participation. I understand that this form involves the release of legal rights.

    By entering my initials below, I agree to each statement above and release The Friendship Circle of the West Coast from any and all liability.

  • Pick a Date
    at
  • Sunday Circle Rates:

  • $100/day

    Please note: Private paid clients will not be denied participation due to financial constraints.

  • Sunday Circle is Self-Determination-Friendly and promotes community integration (Code 331). Please work with your FMS provider to cover the cost of this program. For any further questions, please feel free to reach out to us at [email protected].

  • Credit Card
    Billing Address
  • $0.00
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.