Volunteer | Capital Friends

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Birthday*

Gender*

School Name*

One Reference (Name and Number)*

Grade*

Parent's Information

Parents must give permission for volunteers under the age of 18.

Father's Name

First Last

Father's Email

Father's Phone

Father's Occupation

Mother's Name

First Last

Mother's Email

Mother's Phone

Mother's Occupation

I hereby give my son/daughter permission to participate in Friendship Circle programs

I hereby release the Friendship Circle, its providers and administrators, from ALL liability for any incident which affects the health, welfare, or safety of my child in the provision of a Friendship Circle program