Friendship Circle Volunteer Sign up Form
 
Name  D.O.B
 
Address   City       State     Zip
 
Home Phone   Cell Phone
 
Email

 I commit to volunteering for the duration of one school year.
 
I would like my partner to be:
   
or please pair me with a volunteer of your choice.

Parental consent (if under 18)
I allow my child to be a volunteer for the Friendship Circle.
 
 I allow my child to accompany the parents of the special needs child on occasional short outing during the weekly visitations.
 
Confidentiality
 
I hereby agree to keep all information about our special needs family confidential
Parents initials (if under 18)    Volunteer initials