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Program Registration
Program 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
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
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
Torah Circle
Sundays
, 9:30 am - 12:00 pm
Price:
$1350
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$1080
October 15
October 29
November 5
November 19
December 3
December 10
December 17
January 14
January 21
January 28
February 11
February 25
March 3
March 10
March 17
April 7
April 14
May 5
Register for Torah Circle
Register for Torah Circle
Torah Circle
Price:
Torah Circle Aide Fee
Price:
Torah Circle 21+
Sundays
, 12:00 pm - 2:30 pm
Price:
$1350
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$1080
October 15
October 29
November 5
November 19
December 3
December 10
December 17
January 14
January 21
January 28
February 11
February 25
March 3
March 10
March 17
April 7
April 14
May 5
Register for Torah Circle 21+
Register for Torah Circle 21+
Torah Circle 21+
Price:
Torah Circle 21+ Aide Fee
Price:
After Care – Tuesday Session 2
Tuesdays
, 3:30-6:30pm
Price:
$1890
January 2
January 9
January 16
January 23
January 30
February 6
February 13
February 27
March 5
March 12
March 19
March 26
April 9
April 16
May 7
May 14
May 21
June 4
June 18
Register for After Care – Tuesday Session 2
Register for After Care – Tuesday Session 2
After Care – Tuesday Session 2
Price:
Culinary and Art #2
Tuesdays
, 10:00am-1:00pm
Price:
$1710
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$1330
January 2
January 9
January 16
January 23
January 30
February 6
February 13
February 20
February 27
March 5
March 12
March 19
March 26
April 2
April 9
April 16
May 7
May 14
May 21
May 28
Register for Culinary and Art #2
Register for Culinary and Art #2
Culinary and Art #2
Price:
Culinary and Art #2 Aide Fee
Price:
After Care – Wednesday Session 2
Wednesdays
, 3:30-6:30pm
Price:
$1800
January 3
January 10
January 17
January 24
January 31
February 7
February 14
February 21
March 6
March 13
March 20
March 27
April 10
April 17
May 8
May 15
May 22
May 29
June 5
Register for After Care – Wednesday Session 2
Register for After Care – Wednesday Session 2
After Care – Wednesday Session 2
Price:
Culinary Adventures #2
Wednesdays
, 5:00pm -6:30pm
Price:
$675
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$600
January 3
January 10
January 17
January 24
January 31
February 7
February 14
March 6
March 13
March 20
March 27
April 3
April 10
April 17
May 8
May 15
May 22
Register for Culinary Adventures #2
Register for Culinary Adventures #2
Culinary Adventures #2
Price:
Culinary Adventures #2 Aide Fee
Price:
Art and Cooking #2
Wednesdays
, 4:30pm-6:00pm
Price:
$675
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$600
January 3
January 10
January 17
January 24
January 31
February 7
February 14
March 6
March 13
March 20
March 27
April 3
April 10
April 17
May 8
May 15
May 22
Register for Art and Cooking #2
Register for Art and Cooking #2
Art and Cooking #2
Price:
Art and Cooking #2 Aide Fee
Price:
Art and Cooking #2 Early Drop off
Wednesdays
, 3:00-4:30pm
Price:
$450
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$450
January 3
January 10
January 17
January 24
January 31
February 7
February 14
March 6
March 13
March 20
March 27
April 3
April 10
April 17
May 8
May 15
May 22
Register for Art and Cooking #2 Early Drop off
Register for Art and Cooking #2 Early Drop off
Art and Cooking #2 Early Drop off
Price:
Art and Cooking #2 Early Drop off Aide Fee
Price:
Social Club #2
Thursdays
, 10:00am-1:00pm
Price:
$1890
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$1470
January 4
January 11
January 18
January 25
February 1
February 8
February 15
February 22
February 29
March 7
March 14
March 21
March 28
April 4
April 11
April 18
May 2
May 9
May 16
May 23
May 30
Register for Social Club #2
Register for Social Club #2
Social Club #2
Price:
Social Club #2 Aide Fee
Price:
Bowling #2
Thursdays
, 6:30-8:00pm
Price:
$225
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$150
January 4
February 1
March 7
April 4
May 2
Register for Bowling #2
Register for Bowling #2
Bowling #2
Price:
Bowling #2 Aide Fee
Price:
After Care – Monday Session 2
Mondays
, 3:30-6:30pm
Price:
$1575
January 8
January 22
January 29
February 5
February 12
February 26
March 4
March 11
March 18
March 25
April 8
April 15
May 6
May 13
May 27
Register for After Care – Monday Session 2
Register for After Care – Monday Session 2
After Care – Monday Session 2
Price:
Sports and Social Time #2
Mondays
, 5:00pm - 6:30pm
Price:
$630
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$560
January 8
January 22
January 29
February 5
February 12
February 26
March 4
March 11
March 18
March 25
April 1
April 8
April 15
May 6
May 13
Register for Sports and Social Time #2
Register for Sports and Social Time #2
Sports and Social Time #2
Price:
Sports and Social Time #2 Aide Fee
Price:
Sports #2 Early Drop off
Mondays
, 3:00pm-4:30pm
Price:
$420
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$420
January 8
January 22
January 29
February 5
February 12
February 26
March 4
March 11
March 18
March 25
April 1
April 8
April 15
May 6
May 13
Register for Sports #2 Early Drop off
Register for Sports #2 Early Drop off
Sports #2 Early Drop off
Price:
Sports #2 Early Drop off Aide Fee
Price:
Sports #2
Mondays
, 4:30pm - 6:00pm
Price:
$630
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$560
January 8
January 22
January 29
February 5
February 12
February 26
March 4
March 11
March 18
March 25
April 1
April 8
April 15
May 6
May 13
Register for Sports #2
Register for Sports #2
Sports #2
Price:
Sports #2 Aide Fee
Price:
After School Fun #2 Early Drop off
Tuesdays
, 3:00-4:30pm
Price:
$450
Aide Fee:
$450
January 9
January 16
January 23
January 30
February 6
February 13
February 27
March 5
March 12
March 19
March 26
April 9
April 16
May 7
May 14
Register for After School Fun #2 Early Drop off
Register for After School Fun #2 Early Drop off
After School Fun #2 Early Drop off
Price:
After School Fun #2 Early Drop off Aide Fee
Price:
After School Fun #2
Tuesdays
, 4:30 - 6:00 pm
Price:
$675
Aide Fee:
$600
January 9
January 16
January 23
January 30
February 6
February 13
February 27
March 5
March 12
March 19
March 26
April 2
April 9
April 16
May 7
May 14
Register for After School Fun #2
Register for After School Fun #2
After School Fun #2
Price:
After School Fun #2 Aide Fee
Price:
Movie Night #2
Tuesdays
, 6:00pm-8:00pm
Price:
$300
Aide Fee:
$200
January 16
February 13
February 20
March 19
April 9
May 14
May 28
Register for Movie Night #2
Register for Movie Night #2
Movie Night #2
Price:
Movie Night #2 Aide Fee
Price:
Football Circle
Sunday, June 2
, 10:00- 11:30am
Register for Football Circle
June 2
Football Circle
Price:
Football Circle - Quantity
Summer Fun Mondays #1
Mondays
, 4:00pm-6:00pm
Price:
$240
Aide Fee:
$160
June 3
June 10
June 17
June 24
Register for Summer Fun Mondays #1
Register for Summer Fun Mondays #1
Summer Fun Mondays #1
Price:
Summer Fun Mondays #1 Aide Fee
Price:
Summer Fun Tuesdays #1
Tuesdays
, 4:00pm-6:00pm
Price:
$180
Aide Fee:
$120
June 4
June 18
June 25
Register for Summer Fun Tuesdays #1
Register for Summer Fun Tuesdays #1
Summer Fun Tuesdays #1
Price:
Summer Fun Tuesdays #1 Aide Fee
Price:
Culinary and Art #3
Tuesdays
, 10:00am-1:00pm
Price:
$720
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$560
June 4
June 11
June 18
June 25
July 2
July 9
July 16
July 23
Register for Culinary and Art #3
Register for Culinary and Art #3
Culinary and Art #3
Price:
Culinary and Art #3 Aide Fee
Price:
Summer Fun Wednesdays #1
4:00pm-6:00pm
Price:
$180
Aide Fee:
$120
Wednesday, June 5
Wednesday, June 19
Tuesday, June 25
Register for Summer Fun Wednesdays #1
Register for Summer Fun Wednesdays #1
Summer Fun Wednesdays #1
Price:
Summer Fun Wednesdays #1 Aide Fee
Price:
Social Club #3
Thursdays
, 10:00am-1:00pm
Price:
$540
Deposit:
$50 (non-refundable); applied to total cost
Aide Fee:
$420
June 6
June 20
June 27
July 11
July 18
July 25
Register for Social Club #3
Register for Social Club #3
Social Club #3
Price:
Social Club #3 Aide Fee
Price:
Bowling #3
Thursdays
, 6:30-8:00pm
Price:
$90
Aide Fee:
$60
June 6
July 11
Register for Bowling #3
Register for Bowling #3
Bowling #3
Price:
Bowling #3 Aide Fee
Price:
Movie Night #3
Tuesdays
, 6:00pm-8:00pm
Price:
$120
Aide Fee:
$80
June 18
July 16
Register for Movie Night #3
Register for Movie Night #3
Movie Night #3
Price:
Movie Night #3 Aide Fee
Price:
Summer Fun Mondays #2
Mondays
, 4:00pm-6:00pm
Price:
$240
Aide Fee:
$160
July 1
July 8
July 15
July 22
Register for Summer Fun Mondays #2
Register for Summer Fun Mondays #2
Summer Fun Mondays #2
Price:
Summer Fun Mondays #2 Aide Fee
Price:
Summer Fun Tuesdays #2
Tuesdays
, 4:00pm-6:00pm
Price:
$240
Aide Fee:
$160
July 2
July 9
July 16
July 23
Register for Summer Fun Tuesdays #2
Register for Summer Fun Tuesdays #2
Summer Fun Tuesdays #2
Price:
Summer Fun Tuesdays #2 Aide Fee
Price:
Summer Fun Wednesdays #2
Wednesdays
, 4:00pm-6:00pm
Price:
$240
Aide Fee:
$160
July 3
July 10
July 17
July 24
Register for Summer Fun Wednesdays #2
Register for Summer Fun Wednesdays #2
Summer Fun Wednesdays #2
Price:
Summer Fun Wednesdays #2 Aide Fee
Price:
FC Summer Camp Week #1
Monday-Thursday: 9:30am-3:00pm
Price:
$1200
Monday, July 29
Tuesday, July 30
Wednesday, July 31
Thursday, August 1
Register for FC Summer Camp Week #1
Register for FC Summer Camp Week #1
FC Summer Camp Week #1
Price:
FC Summer Camp Week #2
Monday-Thursday: 9:30am-3:00pm
Price:
$1200
Monday, August 5
Tuesday, August 6
Wednesday, August 7
Thursday, August 8
Register for FC Summer Camp Week #2
Register for FC Summer Camp Week #2
FC Summer Camp Week #2
Price:
FC Summer Camp Week #3
Monday, Wednesday and Thursday: 9:30am-3:00pm, Friday 9:30am-2:00pm
Price:
$1200
Monday, August 12
Wednesday, August 14
Thursday, August 15
Friday, August 16
Register for FC Summer Camp Week #3
Register for FC Summer Camp Week #3
FC Summer Camp Week #3
Price:
Allie’s Summer Camp
Monday-Thursday: 9:30am-3:00pm
Price:
$1200
Monday, August 19
Tuesday, August 20
Wednesday, August 21
Thursday, August 22
Register for Allie’s Summer Camp
Register for Allie’s Summer Camp
Allie’s Summer Camp
Price:
Allie’s Summer Camp 21+
Monday-Thursday: 9:30am-3:00pm
Price:
$1200
Monday, August 19
Tuesday, August 20
Wednesday, August 21
Thursday, August 22
Register for Allie’s Summer Camp 21+
Register for Allie’s Summer Camp 21+
Allie’s Summer Camp 21+
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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