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Program Registration
Program Registration
1
Participant
2
PerformCare
3
Programs
4
Payment
From Registration
Thank you for your registration, please complete your
Program Registration
below.
Participant's Info
Participant's Name
*
First
Last
Birth Date
*
Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
Day
1
2
3
4
5
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13
14
15
16
17
18
19
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21
22
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25
26
27
28
29
30
31
Year
Year
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2003
2002
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1991
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1989
1988
1987
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1985
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1983
1982
1981
1980
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1978
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1963
1962
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1950
1949
1948
1947
1946
1945
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 8
September 15
September 22
September 29
October 6
October 13
October 20
October 27
November 3
November 10
November 17
November 24
December 1
December 8
December 15
December 22
January 5
January 12
January 19
January 26
February 2
February 9
February 16
February 23
March 2
March 9
March 16
March 30
April 6
April 13
May 4
May 11
May 18
May 25
June 1
June 8
June 15
June 22
June 29
July 6
July 13
July 20
July 27
Register for Adult Mornings: Tuesday
Register for Adult Mornings: Tuesday
Adult Mornings: Tuesday
Price:
After School: Tuesday
Tuesdays
, 4:00 - 6:00 pm
Price:
$2400
September 8
September 15
September 22
October 6
October 13
October 20
October 27
November 3
November 10
November 17
November 24
December 1
December 15
December 22
January 5
January 12
January 19
January 26
February 2
February 9
February 16
February 23
March 2
March 9
March 16
March 30
April 6
April 13
May 4
May 11
May 18
May 25
June 1
June 8
June 15
June 22
June 29
July 6
July 13
July 20
July 27
Register for After School: Tuesday
Register for After School: Tuesday
After School: Tuesday
Price:
Adult Mornings: Wednesday
Wednesdays
, 10:00am-1:00pm
Price:
$3690
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 20
January 27
February 3
February 10
February 17
March 3
March 10
March 17
March 24
March 31
April 7
April 14
May 5
May 12
May 26
June 2
June 9
June 16
June 23
June 30
July 7
July 14
July 21
July 28
Register for Adult Mornings: Wednesday
Register for Adult Mornings: Wednesday
Adult Mornings: Wednesday
Price:
Adult Afternoons: Wednesday
Wednesdays
, 5:00 - 6:30 pm
Price:
$1575
September 9
September 16
September 23
October 7
October 14
October 21
October 28
November 4
November 11
November 18
December 2
December 16
January 6
January 13
January 20
January 27
February 3
February 10
February 17
March 3
March 10
March 17
March 24
March 31
April 7
April 14
May 5
May 12
May 26
June 2
June 16
June 23
June 30
July 7
July 14
July 21
July 28
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 9
September 16
September 23
October 7
October 14
October 21
October 28
November 4
November 11
November 18
December 2
December 16
January 6
January 13
January 20
January 27
February 3
February 10
February 17
March 3
March 10
March 17
March 24
March 31
April 7
April 14
May 5
May 12
May 26
June 2
June 16
June 23
June 30
July 7
July 14
July 21
July 28
Register for After School: Wednesday
Register for After School: Wednesday
After School: Wednesday
Price:
Adult Mornings: Thursday
Thursdays
, 10:00am-1:00pm
Price:
$3690
September 10
September 17
September 24
October 1
October 8
October 15
October 22
October 29
November 12
November 19
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 15
May 6
May 13
May 20
May 27
June 3
June 10
June 17
June 24
July 1
July 8
July 15
July 22
July 29
Register for Adult Mornings: Thursday
Register for Adult Mornings: Thursday
Adult Mornings: Thursday
Price:
After School: Thursday
Thursdays
, 4:00 - 6:00 pm
Price:
$2220
September 10
September 17
September 24
October 8
October 15
October 22
October 29
November 12
November 19
December 3
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 15
May 6
May 13
May 20
May 27
June 3
June 17
June 24
July 8
July 15
July 22
July 29
Register for After School: Thursday
Register for After School: Thursday
After School: Thursday
Price:
Adult Mornings: Monday
Mondays
, 10:00am-1:00pm
Price:
$3870
September 14
September 28
October 5
October 19
October 26
November 2
November 9
November 16
November 23
November 30
December 7
December 14
December 21
January 4
January 11
January 25
February 1
February 8
February 22
March 1
March 8
March 15
March 22
March 29
April 5
April 12
April 19
May 3
May 10
May 17
May 24
June 7
June 14
June 21
June 28
July 12
July 19
July 26
Register for Adult Mornings: Monday
Register for Adult Mornings: Monday
Adult Mornings: Monday
Price:
Adult Afternoons: Monday
Mondays
, 5:00 - 6:30 pm
Price:
$1710
September 14
October 5
October 19
October 26
November 2
November 9
November 16
November 23
November 30
December 14
December 21
January 4
January 11
January 25
February 1
February 8
February 22
March 1
March 8
March 15
March 22
March 29
April 5
April 12
April 19
May 3
May 10
May 17
May 24
June 7
June 14
June 21
June 28
July 5
July 12
July 19
July 26
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 14
October 5
October 19
October 26
November 2
November 9
November 16
November 23
November 30
December 14
December 21
January 4
January 11
January 25
February 1
February 8
February 22
March 1
March 8
March 15
March 22
March 29
April 5
April 12
April 19
May 3
May 10
May 17
May 24
June 7
June 14
June 21
June 28
July 5
July 12
July 19
July 26
Register for After School: Monday
Register for After School: Monday
After School: Monday
Price:
Adult Evenings: Bowling
Tuesdays
, 5:00-6:30pm
Price:
$720
September 15
October 13
October 27
November 10
November 24
December 15
January 12
January 26
February 9
February 23
March 9
March 30
April 6
May 4
May 25
June 8
June 22
June 29
July 13
July 27
Register for Adult Evenings: Bowling
Register for Adult Evenings: Bowling
Adult Evenings: Bowling
Price:
Adult Evenings: Movie Night
Tuesdays
, 5:00pm-6:30pm
Price:
$495
September 22
October 20
November 17
December 22
January 19
February 16
March 16
May 18
June 15
July 20
Register for Adult Evenings: Movie Night
Register for Adult Evenings: Movie Night
Adult Evenings: Movie Night
Price:
Torah Circle
Sundays
, 9:30 am - 12:00 pm
Price:
$1950
October 11
October 18
November 1
November 8
November 15
November 22
December 6
December 13
December 20
January 10
January 17
January 24
January 31
February 7
February 21
February 28
March 7
March 14
March 21
March 28
April 4
April 11
April 18
May 2
May 16
May 23
June 6
Register for Torah Circle
Register for Torah Circle
Torah Circle
Price:
Adult Torah Circle
Sundays
, 12:15 pm - 2:45 pm
Price:
$1950
October 11
October 18
November 1
November 8
November 15
November 22
December 6
December 13
December 20
January 10
January 17
January 24
January 31
February 7
February 21
February 28
March 7
March 14
March 21
March 28
April 4
April 11
April 18
May 2
May 16
May 23
June 6
Register for Adult Torah Circle
Register for Adult Torah Circle
Adult Torah Circle
Price:
Football Circle
Sundays
, 11:00am-1:00pm
Register for Football Circle
October 18
May 23
Football Circle
Price:
Football Circle - Quantity
FC Summer Camp Week #1 2027
Monday-Thursday: 9:30am-3:00pm & Friday; 9:30am-2:00pm
Price:
$1200
Monday, August 2 - 9:30am-3:00pm
Tuesday, August 3 - 9:30am-3:00pm
Wednesday, August 4 - 9:30am-3:00pm
Thursday, August 5 - 9:30am-3:00pm
Friday, August 6 - 9:30am-2:00pm
Register for FC Summer Camp Week #1 2027
Register for FC Summer Camp Week #1 2027
FC Summer Camp Week #1 2027
Price:
FC Summer Camp Week #2 2027
Monday-Thursday: 9:30am-3:00pm & Friday; 9:30am-2:00pm
Price:
$1200
Monday, August 9 - 9:30am-3:00pm
Tuesday, August 10 - 9:30am-3:00pm
Wednesday, August 11 - 9:30am-3:00pm
Thursday, August 12 - 9:30am-3:00pm
Friday, August 13 - 9:30am-2:00pm
Register for FC Summer Camp Week #2 2027
Register for FC Summer Camp Week #2 2027
FC Summer Camp Week #2 2027
Price:
FC Summer Camp Week #3 2027
Monday-Thursday: 9:30am-3:00pm & Friday; 9:30am-2:00pm
Price:
$1200
Monday, August 16 - 9:30am-3:00pm
Tuesday, August 17 - 9:30am-3:00pm
Wednesday, August 18 - 9:30am-3:00pm
Thursday, August 19 - 9:30am-3:00pm
Friday, August 20 - 9:30am-2:00pm
Register for FC Summer Camp Week #3 2027
Register for FC Summer Camp Week #3 2027
FC Summer Camp Week #3 2027
Price:
FC Adults Summer Experience 2027
Monday-Thursday: 10:00am-2:30pm & Friday 10:00am-2:00pm
Monday, August 23 - 10:00am-2:30pm
Tuesday, August 24 - 10:00am-2:30pm
Wednesday, August 25 - 10:00am-2:30pm
Thursday, August 26 - 10:00am-2:30pm
Friday, August 27 - 10:00am-2:00pm
Register for FC Adults Summer Experience 2027
Register for FC Adults Summer Experience 2027
FC Adults Summer Experience 2027
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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