FC Extreme Summer 2025: Volunteer Application Are you a new or returning volunteer? New VolunteerReturning New to FC Palisades? Please fill out a New Volunteer Form, in addition to this form, and we will schedule a meeting with you and a parent to speak about Friendship Circle and the expectations we have for our volunteers. Volunteer's Name:* First Name Last Name Date of Birth:* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade (2024-2025):* 89101112 Cell Phone Number:* Best Contact E-mail:* Parent Name: First Name Last Name Parent Phone Number: Parent E-mail: Days Attending:* August 4August 5August 6August 7 Volunteers who sign up for all four days of camp will get FIRST PREFERENCE, as this helps provide consistency for our members. If you're only available for some days, we still appreciate your help and will add you to our alternate list. We'll reach out about specific days based on your availability and our needs. T-shirt Size: * T-shirt must be worn daily Adult SmallAdult MediumAdult LargeAdult XLAdult 2XL Shoe Size:* (For Bowling) What are you most looking forward to at Friendship Circle Extreme?* Additional Contacts (In Case of Emergency): Emergency Contact #1:* First Name Last Name Relationship:* Phone Number:* Emergency Contact #2:* First Name Last Name Relationship:* Phone Number:* Parental Consent: Are you 18 or older?* I am the parent of a volunteer under 18Yes, I am 18 or older In the event that neither parent nor the emergency contact can be reached, Friendship Circle has my permission to render any necessary first aid or to secure care by a physician to my child while attending FC Extreme. I further agree to pay all charges for that care and/or treatment.* I Agree In the event that neither parent nor the emergency contact can be reached, Friendship Circle has my permission to render any necessary first aid or to secure care by a physician to me while attending FC Extreme. I further agree to pay all charges for that care and/or treatment.* I Agree I permit my child to to attend and participate in all trips and outings organized by Friendship Circle as part of the program. I agree I give permission to The Friendship Circle to transport my child to and from excursions while my child is in their care. I agree to release the Friendship Circle and its providers and administrators, from all liabilities for any incident which affects the health, welfare and safety of my child during the provided transportation.* I agreeI will arrange transportation to and from trips for my child. In the event that my child is unable to attend one of the below sessions, I will notify The Friendship Circle as soon as possible so they can plan accordingly. I agree In the event that I am unable to attend one of the below sessions, I will notify The Friendship Circle as soon as possible so they can plan accordingly. I agree I permit my child's photo to be used for publicity purposes. Yes I permit my photo to be used for publicity purposes.* Yes What would you prefer when group photos are taken?* My child can be in group photos as long as their face is not highlightedPlease ask my child to step out of group photos. 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. Parent Signature* Volunteer Signature* Date* Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Give the Gift of Camp! Friendship Circle Extreme is made possible through generous support and community involvement. While volunteers are not charged to attend - and we’re so grateful for the time, energy, and heart you’re bringing - each day of camp includes trips, activities, lunch, and supplies, which cost about $75 per person, per day. If you’re in a position to make a donation toward your spot, it would mean a lot. Any amount helps and goes directly toward making this meaningful experience possible for all the kids and teens involved. Contribute toward your spot: $75$150$325$500 Sponsorships: Sponsor a camper for the day $175Sponsor a specialist $360Sponsor a trip $500Sponsor a camper for the week $700 Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Total $0.00 Looking forward to an awesome camp experience together! 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