Inclusive Pathways: Fostering Friendships 2026-2027
Please fill out the following form to join the program, which will be held at First Presbyterian Church of Westminster, 65 Washington Road, Westminster, MD. 
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Enter your full name:  *
Personal Information
Preferred name/Nickname:  *
Date of Birth:  *
Age:  *
Grade (for the 2026-2027 academic year, if applicable):  *
Preferred Pronouns: 
School (if applicable): 
Phone number:  *
Email Address:  *
Parent/Guardian or Emergency Contact Name(s): *
Parent/Guardian or Emergency Contact Phone: *
Parent/Guardian Email Address:  *
Program Participation
This program is designed to bring together youth with and without disabilities to build friendships. We ask the following questions to help us make sure everyone can participate fully and we can support the needs of participants. If you do not want to answer any part of the application or have questions, please contact us. 
What activities or hobbies do you enjoy? *
Required
What are your strengths? What are you good at?  *
What makes you feel welcomed and included in a group? *
Support and Accessibility
I identify as... *
Required
Do you need any accommodations to participate fully? (Check all that apply)
Are there circumstances that would require you to need adult support? Please explain. 
Goals 

Why are you interested in joining this program? (Check all that apply):

 *
Required
What is one thing you'd like to get out of this program?  *
Photo/Video Release 

I give permission for photos/videos including me to be used for program promotion.

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Required

If there are any food allergies, please list them below. These would include milk products, flour, oats, soy, nuts, or other sensitivities.

Please indicate the severity of the allergy.


By clicking the box below, I confirm my interest in being a part of the Fostering Friendships Program, and that the information I've provided is true, and I give consent for the organizers of the program to contact me and/or my parents, guardians, or emergency contacts, as listed above.  *
Required
I am filling out this form on behalf of someone who would like to participate in the program. Please provide your name. 
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