1Participant2Programs3Payment4 From Registration Thank you for your registration, please complete your Program Registration below.Participant's InfoParticipant's Name* First Last Birth Date*MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age*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. ProgramsAfter Care – Tuesday Session 2Tuesdays, 3:30-6:30pmPrice: $1890January 2January 9January 16January 23January 30February 6February 13February 27March 5March 12March 19March 26April 9April 16May 7May 14May 21June 4June 18Register for After Care – Tuesday Session 2 Register for After Care – Tuesday Session 2 After Care – Tuesday Session 2 Price: Culinary and Art #2Tuesdays, 10:00am-1:00pmPrice: $1710Deposit: $50 (non-refundable); applied to total costAide Fee: $1330January 2January 9January 16January 23January 30February 6February 13February 20February 27March 5March 12March 19March 26April 2April 9April 16May 7May 14May 21May 28Register 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 2Wednesdays, 3:30-6:30pmPrice: $1800January 3January 10January 17January 24January 31February 7February 14February 21March 6March 13March 20March 27April 10April 17May 8May 15May 22May 29June 5Register for After Care – Wednesday Session 2 Register for After Care – Wednesday Session 2 After Care – Wednesday Session 2 Price: Culinary Adventures #2Wednesdays, 5:00pm -6:30pmPrice: $675Deposit: $50 (non-refundable); applied to total costAide Fee: $600January 3January 10January 17January 24January 31February 7February 14March 6March 13March 20March 27April 3April 10April 17May 8May 15May 22Register for Culinary Adventures #2 Register for Culinary Adventures #2 Culinary Adventures #2 Price: Culinary Adventures #2 Aide Fee Price: Art and Cooking #2Wednesdays, 4:30pm-6:00pmPrice: $675Deposit: $50 (non-refundable); applied to total costAide Fee: $600January 3January 10January 17January 24January 31February 7February 14March 6March 13March 20March 27April 3April 10April 17May 8May 15May 22Register 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 offWednesdays, 3:00-4:30pmPrice: $450Deposit: $50 (non-refundable); applied to total costAide Fee: $450January 3January 10January 17January 24January 31February 7February 14March 6March 13March 20March 27April 3April 10April 17May 8May 15May 22Register 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 #2Thursdays, 10:00am-1:00pmPrice: $1890Deposit: $50 (non-refundable); applied to total costAide Fee: $1470January 4January 11January 18January 25February 1February 8February 15February 22February 29March 7March 14March 21March 28April 4April 11April 18May 2May 9May 16May 23May 30Register for Social Club #2 Register for Social Club #2 Social Club #2 Price: Social Club #2 Aide Fee Price: After Care – Monday Session 2Mondays, 3:30-6:30pmPrice: $1575January 8January 22January 29February 5February 12February 26March 4March 11March 18March 25April 8April 15May 6May 13Register for After Care – Monday Session 2 Register for After Care – Monday Session 2 After Care – Monday Session 2 Price: Sports and Social Time #2Mondays, 5:00pm – 6:30pmPrice: $630Deposit: $50 (non-refundable); applied to total costAide Fee: $560January 8January 22January 29February 5February 12February 26March 4March 11March 18March 25April 1April 8April 15May 6May 13Register 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 offMondays, 3:00pm-4:30pm Price: $420Deposit: $50 (non-refundable); applied to total costAide Fee: $420January 8January 22January 29February 5February 12February 26March 4March 11March 18March 25April 1April 8April 15May 6May 13Register 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 #2Mondays, 4:30pm – 6:00pmPrice: $630Deposit: $50 (non-refundable); applied to total costAide Fee: $560January 8January 22January 29February 5February 12February 26March 4March 11March 18March 25April 1April 8April 15May 6May 13Register for Sports #2 Register for Sports #2 Sports #2 Price: Sports #2 Aide Fee Price: After School Fun #2 Early Drop offTuesdays, 3:00-4:30pmPrice: $450Aide Fee: $450January 9January 16January 23January 30February 6February 13February 27March 5March 12March 19March 26April 9April 16May 7May 14Register 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 #2Tuesdays, 4:30 – 6:00 pmPrice: $675Aide Fee: $600January 9January 16January 23January 30February 6February 13February 27March 5March 12March 19March 26April 2April 9April 16May 7May 14Register 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 #2Tuesdays, 6:00pm-8:00pmPrice: $300Aide Fee: $200January 16February 13February 20March 19April 9May 14May 28Register for Movie Night #2 Register for Movie Night #2 Movie Night #2 Price: Movie Night #2 Aide Fee Price: Football CircleSunday, June 2, 10:00- 11:30amRegister for Football Circle June 2 Football Circle Price: Football Circle – QuantitySummer Fun Mondays #1Mondays, 4:00pm-6:00pmPrice: $240Aide Fee: $160June 3June 10June 17June 24Register 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 #1Tuesdays, 4:00pm-6:00pmPrice: $180Aide Fee: $120June 4June 18June 25Register 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 #3Tuesdays, 10:00am-1:00pmPrice: $720Deposit: $50 (non-refundable); applied to total costAide Fee: $560June 4June 11June 18June 25July 2July 9July 16July 23Register 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 #14:00pm-6:00pmPrice: $180Aide Fee: $120Wednesday, June 5Wednesday, June 19Tuesday, June 25Register 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 #3Thursdays, 10:00am-1:00pmPrice: $540Deposit: $50 (non-refundable); applied to total costAide Fee: $420June 6June 20June 27July 11July 18July 25Register for Social Club #3 Register for Social Club #3 Social Club #3 Price: Social Club #3 Aide Fee Price: Bowling #3Thursdays, 6:30-8:00pmPrice: $90Aide Fee: $60June 6July 11Register for Bowling #3 Register for Bowling #3 Bowling #3 Price: Bowling #3 Aide Fee Price: Movie Night #3Tuesdays, 6:00pm-8:00pmPrice: $120Aide Fee: $80June 18July 16Register for Movie Night #3 Register for Movie Night #3 Movie Night #3 Price: Movie Night #3 Aide Fee Price: Summer Fun Mondays #2Mondays, 4:00pm-6:00pmPrice: $240Aide Fee: $160July 1July 8July 15July 22Register 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 #2Tuesdays, 4:00pm-6:00pmPrice: $240Aide Fee: $160July 2July 9July 16July 23Register 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 #2Wednesdays, 4:00pm-6:00pmPrice: $240Aide Fee: $160July 3July 10July 17July 24Register 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 #1Monday-Thursday: 9:30am-3:00pmPrice: $1200Monday, July 29Tuesday, July 30Wednesday, July 31Thursday, August 1Register for FC Summer Camp Week #1 Register for FC Summer Camp Week #1 FC Summer Camp Week #1 Price: FC Summer Camp Week #2Monday-Thursday: 9:30am-3:00pmPrice: $1200Monday, August 5Tuesday, August 6Wednesday, August 7Thursday, August 8Register for FC Summer Camp Week #2 Register for FC Summer Camp Week #2 FC Summer Camp Week #2 Price: FC Summer Camp Week #3Monday, Wednesday and Thursday: 9:30am-3:00pm, Friday 9:30am-2:00pmPrice: $1200Monday, August 12Wednesday, August 14Thursday, August 15Friday, August 16Register for FC Summer Camp Week #3 Register for FC Summer Camp Week #3 FC Summer Camp Week #3 Price: Allie’s Summer CampMonday-Thursday: 9:30am-3:00pmPrice: $1200Monday, August 19Tuesday, August 20Wednesday, August 21Thursday, August 22Register 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-3:00pmPrice: $1200Monday, August 19Tuesday, August 20Wednesday, August 21Thursday, August 22Register for Allie’s Summer Camp 21+ Register for Allie’s Summer Camp 21+ Allie’s Summer Camp 21+ Price: Form CalculationsDeposit Amount TotalDepositTotalTotal $0.00 Total Program Summary Please NoteThis 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.