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Programs Registration
Programs Registration
1
Participant
2
Programs
3
Payment
4
From Registration
Thank you for your registration, please complete your
Program Registration
below.
Participant's Info
Participant's Name
*
First
Last
Birth Date
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
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8
9
10
11
12
13
14
15
16
17
18
19
20
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22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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2002
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1989
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1986
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1982
1981
1980
1979
1978
1977
1976
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1973
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1968
1967
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1953
1952
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1950
1949
1948
1947
1946
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1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age
*
Participant requires
*
Trained adult aide – There will be an additional cost for the aide per program
Teen volunteer
I will supply my own aide – no additional cost
Parents Name
*
First
Last
Parent Email
*
Parent Cell
*
Cell Number
Cell Carrier
Cell Carrier
*
Participant Email Address
Friendship Circle is eligible to accept PerformCare funding.
Please indicate below if the participant is registered for PerformCare.
PerformCare
Participant is approved with PerformCare
Participant is not approved for PerformCare
Participant is not approved with PerformCare but I am interested in finding out more
PerformCare Choice
We will choose Friendship Circle as the provider for AASR (Agency After School Respite)
We decline to choose Friendship Circle as our AASR provider
Friendship Circle is eligible to accept DDD funding under category of 'Goods and Services'. Please indicate below if the participant has available funding in their budget.
DDD Funding Availability
Participant may have DDD funding available
Participant has DDD funding but budget is full
Participant does not have DDD funding
Participant Status
*
I am a new participant at Friendship Circle.
I have participated before at Friendship Circle.
Programs
Adult Mornings: Tuesday
Tuesdays
, 10:00am-1:00pm
Price:
$3870
September 3
September 10
September 17
September 24
October 1
October 8
October 15
October 22
October 29
November 5
November 12
November 19
November 26
December 3
December 10
December 17
January 7
January 14
January 21
January 28
February 4
February 11
February 18
February 25
March 4
March 11
March 18
March 25
April 1
April 8
April 22
April 29
May 6
May 13
May 20
May 27
June 10
June 17
June 24
July 1
July 8
July 15
July 22
Register for Adult Mornings: Tuesday
Register for Adult Mornings: Tuesday
Adult Mornings: Tuesday
Price:
Adult Mornings: Wednesday
Wednesdays
, 10:00am-1:00pm
Price:
$3690
September 4
September 11
September 18
September 25
October 2
October 9
October 16
October 23
October 30
November 6
November 13
November 20
December 4
December 11
December 18
January 8
January 15
January 22
January 29
February 5
February 12
February 19
February 26
March 5
March 12
March 19
March 26
April 2
April 9
April 23
April 30
May 7
May 21
May 28
June 4
June 11
June 18
July 2
July 9
July 16
July 23
Register for Adult Mornings: Wednesday
Register for Adult Mornings: Wednesday
Adult Mornings: Wednesday
Price:
Adult Mornings: Thursday
Thursdays
, 10:00am-1:00pm
Price:
$3690
September 5
September 12
September 19
September 26
October 10
October 31
November 7
November 14
November 21
December 5
December 12
December 19
January 2
January 9
January 16
January 23
January 30
February 6
February 13
February 20
February 27
March 6
March 13
March 20
March 27
April 3
April 10
April 24
May 1
May 8
May 15
May 22
May 29
June 5
June 12
June 19
June 26
July 3
July 10
July 17
July 24
Register for Adult Mornings: Thursday
Register for Adult Mornings: Thursday
Adult Mornings: Thursday
Price:
Torah Circle
Sundays
, 9:30 am - 12:00 pm
Price:
$1950
September 8
September 15
September 22
September 29
October 13
November 10
November 17
November 24
December 8
December 15
January 5
January 12
January 19
January 26
February 2
February 9
March 2
March 9
March 16
March 23
March 30
April 6
April 27
May 4
May 18
June 8
Register for Torah Circle
Register for Torah Circle
Torah Circle
Price:
Adult Torah Circle
Sundays
, 12:15 pm - 2:45 pm
Price:
$1950
September 8
September 15
September 22
September 29
October 13
November 10
November 17
November 24
December 8
December 15
January 5
January 12
January 19
January 26
February 2
February 9
March 2
March 9
March 16
March 23
March 30
April 6
April 27
May 4
May 18
June 8
Register for Adult Torah Circle
Register for Adult Torah Circle
Adult Torah Circle
Price:
Adult Afternoons: Monday
Mondays
, 5:00 - 6:30 pm
Price:
$1710
September 9
September 16
September 23
September 30
October 7
October 14
October 21
October 28
November 4
November 11
November 18
November 25
December 2
December 9
December 16
January 6
January 13
January 27
February 3
February 10
February 24
March 3
March 10
March 17
March 24
March 31
April 7
April 28
May 5
May 12
May 19
June 9
June 16
June 23
June 30
July 7
July 14
July 21
Register for Adult Afternoons: Monday
Register for Adult Afternoons: Monday
Adult Afternoons: Monday
Price:
After School: Monday
Mondays
, 4:00 - 6:00 pm
Price:
$2280
September 9
September 16
September 23
September 30
October 7
October 14
October 21
October 28
November 4
November 11
November 18
November 25
December 2
December 9
December 16
January 6
January 13
January 27
February 3
February 10
February 24
March 3
March 10
March 17
March 24
March 31
April 7
April 28
May 5
May 12
May 19
June 9
June 16
June 23
June 30
July 7
July 14
July 21
Register for After School: Monday
Register for After School: Monday
After School: Monday
Price:
After School: Tuesday
Tuesdays
, 4:00 - 6:00 pm
Price:
$2400
September 10
September 17
September 24
October 1
October 8
October 15
October 22
October 29
November 5
November 12
November 19
November 26
December 3
December 10
December 17
January 7
January 14
January 21
January 28
February 4
February 11
February 25
March 4
March 11
March 18
March 25
April 1
April 8
April 22
April 29
May 6
May 13
May 20
June 10
June 17
June 24
July 1
July 8
July 15
July 22
Register for After School: Tuesday
Register for After School: Tuesday
After School: Tuesday
Price:
Adult Afternoons: Wednesday
Wednesdays
, 5:00 - 6:30 pm
Price:
$1575
September 11
September 18
September 25
October 9
October 30
November 6
November 13
November 20
December 4
December 11
December 18
January 8
January 15
January 22
January 29
February 5
February 12
February 19
March 5
March 12
March 19
March 26
April 2
April 9
April 23
April 30
May 7
May 21
June 4
June 18
June 25
July 2
July 9
July 16
July 23
Register for Adult Afternoons: Wednesday
Register for Adult Afternoons: Wednesday
Adult Afternoons: Wednesday
Price:
After School: Wednesday
Wednesdays
, 4:00 - 6:00 pm
Price:
$2100
September 11
September 18
September 25
October 9
October 30
November 6
November 13
November 20
December 4
December 11
December 18
January 8
January 15
January 22
January 29
February 5
February 12
February 19
March 5
March 12
March 19
March 26
April 2
April 9
April 23
April 30
May 7
May 21
June 4
June 18
June 25
July 2
July 9
July 16
July 23
Register for After School: Wednesday
Register for After School: Wednesday
After School: Wednesday
Price:
After School: Thursday
Thursdays
, 4:00 - 6:00 pm
Price:
$2220
September 12
September 19
September 26
October 10
November 7
November 14
November 21
December 5
December 12
December 19
January 2
January 9
January 16
January 23
January 30
February 6
February 13
February 20
February 27
March 6
March 13
March 20
March 27
April 3
April 10
April 24
May 1
May 8
May 15
May 22
June 5
June 12
June 26
July 3
July 10
July 17
July 24
Register for After School: Thursday
Register for After School: Thursday
After School: Thursday
Price:
Adult Evenings: Movie Night
Tuesdays
, 6:00pm-7:30pm
Price:
$495
September 17
October 15
November 19
December 17
January 14
February 18
March 18
April 22
May 20
June 17
July 8
Register for Adult Evenings: Movie Night
Register for Adult Evenings: Movie Night
Adult Evenings: Movie Night
Price:
Football Circle
Sundays
, 10:00-11:30am
Register for Football Circle
October 27
June 8
Football Circle
Price:
Football Circle - Quantity
Adult Evenings: Bowling
Tuesdays
, 6:00-7:30pm
Price:
$720
November 5
November 26
December 10
January 7
January 21
February 4
February 25
March 4
March 25
April 1
April 29
May 6
May 27
June 24
July 1
July 22
Register for Adult Evenings: Bowling
Register for Adult Evenings: Bowling
Adult Evenings: Bowling
Price:
Form Calculations
Deposit Amount
Total
Deposit
Total
Total
$0.00
Total
Program Summary
Please Note
This form is an application to register for programs at Friendship Circle. It is
not
a confirmation of program enrollment. You will receive a follow-up email when enrollment is confirmed.
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