Spring 2020 SibClub Registration Form
SibClub is a fun, upbeat program for kids (grades K-5) who have a brother or sister with special needs. This group explores the joys and challenges of this unique life-long relationship with others who have "been there". Register your child for our Spring 2020 SibClub below.

Parents, please note we are trying something new this session to improve our ability to plan for who is coming to each meeting so we are sure we have enough helpers, food and activity supplies. This registration form is to register your child for our Winter/Spring 2020 session. Two weeks before each meeting, you will receive an email asking you to confirm if your child will attend the next meeting or not. Please confirm your child's attendance at that time and let us know if plans change as the date gets closer.

By submitting this form you agree to the following:

I assume all risks and hazards of the conduct of the program and release responsibility from any person providing transportation to and from activities. In case of injury, I hereby waive all claims or legal actions, financial, or otherwise against Family Support Network of Central Carolina, their elected officials, and employees, the organizers, sponsors, supervisors or any volunteer connected with the program. In absence of a signature, participation in the program shall constitute acceptance of conditions set forth in the release. While respecting the stories of our siblings, we may use photos for educational/promotional purposes.

For questions, please email support@fsncc.org or call us at 336.832.6507.
Email address *
Parent's Name (First & Last): *
Your answer
Parent's Phone Number: *
Your answer
Address: *
Your answer
Participant's Name (First & Last): *
Your answer
Participant's Date of Birth: *
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DD
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Participant's School: *
Your answer
Participant's Grade: *
Your answer
Sibling Details (Name, Age, Diagnosis, etc.): *
Your answer
Why are you registering your child for SibClub? (Optional)
Your answer
How did you hear about SibClub? (Optional)
Your answer
Does your child have any food allergies, dietary restrictions, or other special care instructions that we should be aware of? *
Your answer
Do you have any questions or concerns? (Optional)
Your answer
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