Joining Friendship Circle

For all new families interested in joining Friendship Circle there is a three step process to get started. If you already had an intake you can get started by registering bellow.

Step One: Register for an Intake Meeting

Friendship Circle requires that all new families participate in an intake meeting before their child participates in programs. You will meet with a family coordinator who will give you a tour of our facility and discuss the programs that are available for your child. The intake is also a good time to ask any questions or share any concerns you may have. Intake Meetings are generally held twice a week. Please contact Leah at [email protected] or 602-861-1600 to schedule your intake meeting.

Step Two: Registration for Programs

Once you have participated in an intake meeting you can now register your child for programs.

Step Three: Pairing of Volunteers

Once your registration has been accepted our volunteer coordinators will work on pairing an appropriate volunteer with your child. Depending on the program selected and the time of year you have registered there may be a delay of 2-3 weeks before your child can participate in programs.

2021-2022
Friendship Circle Registration Form
Child's Info

Child's Name

Birth Date

/ /
Month Day Year

Address

 

 

City

State Zip

Phone Number

Temple Affiliation
Father's Info      

Name

Address if Different

Cell Phone
E-Mail
 
 
     
Mother's Info
 
 
 
Name
Address if
Different
Cell Phone
E-Mail
 
Would you like to receive emails from our FC parent network? Yes No
 
Important Info
What is your child's special need?
Does your child occasionally exhibit any of the following behaviors?
Biting Cursing Grabbing Hitting Kicking Pulling Hair
Other
What is your best method of handling the situation?

What are your child's favorite indoor & outdoor activities?

Other things you would like to tell us about your child


Medical Info  

Emergency contact name
(other than parent)

Phone
   

Cell

Please list any allergies
Please list any medical conditions that we should be aware of
 
Programs  

Arizona Magnet.jpg
 
Signature
In the event that my child is unable to attend any of the above selected programs, I will notify the Friendship Circle.


I allow my child's photos to be used for any and all Friendship Circle publicity purposes.
Yes
No

Who is filling out this form?
Father Mother Legal Guardian
Please type your signature: Date:
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