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Friend in Me Participant Interest Form
Please fill this Google form out if you are interested in having your child join Friend in Me. Thank you!
If you are a volunteer, this is the wrong form, please fill out the volunteer interest form on our website
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* Indicates required question
What time zone do you live in?
*
Pacific Standard Time
Central Standard Time
Mountain Standard Time
Eastern Standard Time
Name
*
Your answer
Email
*
Your answer
Your child's full first and last name
*
Your answer
Child's preferred pronouns
she/her
he/him
they/them
Other:
Clear selection
Your child's age
*
8
9
10
11
12
13
14
15
16
17
18
What is the name of your child's school
Your answer
What days and times work best for your family
*
Your answer
What sessions work best for your child?
*
Friday at 5 pm PST/8 pm EST
Saturday at 11:00 am PST/ 2:00 pm EST
Sunday at 1 pm PST/ 4 pm EST
Required
Your child's favorite games or activites
*
Your answer
Your child is capable of playing or learning how to play the following activities
*
Pictionary
Hangman
Connect 4
Tic Tac Toe
Roblox
Scattergories
Battleship
Eye Spy
Scavenger Hunt
Minecraft
Kahoot
Celebrity Guess Who?
Required
What kind of buddy would your child work best with? (check all that apply)
We can't guarantee that we will be able to meet your preferences but we will try our best
*
Male
Female
Gender does not matter
8-12 age
12-15 age
15-18 age
age does not matter
Required
Any specific behaviors their buddies should know about and what you suggest we do to help them work through them?
*
Your answer
Anything else we and your child's buddy should know about them?
*
Your answer
Thank you so much for filling out our form! We are so excited for your child to join our program! You will be added to our email list after filling out this form so look out for our next email! If there is anything else we need to know, email us at
info@friendinmegroup.org
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