Virtual Friends@home Registration
Friends@Home is our core program that pairs Teen Friends without disabilities together with friends with disabilities for weekly visits in the child's home. Due to current circumstances and the ever changing climate, we are going virtual for now! We will provide games and activities for the friends to interact with each other via a virtual Friends@Home visit.
Sign up to join!
Name of Friends@Home Participant
I am a:
Parent of a child with a disability (under 18)
Young adult with a disability (18 or older)
Teen Friend (under 18)
Friend (18 or older)
Age of Friends@Home participant
If the person filling out this form is 18 and under, please include a parent name, their email address and phone number below
What time of day works for you?
Any time works
Which do you like best for virtual meetings? Check all that apply.
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This form was created inside of Chabad of Virginia.