Friendship Circle Buddy Club
Virtual Hang Out Sessions with a Friendship Circle Volunteer to Provide Friendship and Support to Individuals with Special Needs
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Parent/Guardian Contact Information:
First and Last Name
Email
Phone Number
Home Address
I hereby authorize the Friendship Circle to release my or my child’s registration information to Friendship Circle staff and assigned volunteer mentor
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Participants Information:
Participant Name
Participant Birthday
MM
/
DD
/
YYYY
School and Grade
Special Needs?
Communication Clarify
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Activities Enjoyed:
Activities Not Enjoyed:
Best Motivator:
Day/Time Preferences For Virtual Meetings:
Programming Preferences:
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