Sinai Scholars Volunteers -

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Walk4Friendship

Dear Sinai Scholars

At Friendship House, we are trailblazers for inclusion in our community, and we believe in every individual’s goodness and infinite worth. We are here to ensure every child, no matter their differences or ability, is included and has friends!

As a volunteer and with your devotion, you will make that priceless difference in a child with special needs life!

Together we can perform miracles!

Sports Circle

-Sports Circle is an after-school program that gives children with special needs a wonderful opportunity to engage in different sports and extra- curricular activities. The sports are led by an experienced coach, with one-on-one volunteers available to assist each child with the soccer games and fun. It provides a reliable weekly program for parents while participants engage in learning new skills and values such as team building, fine-tuning gross motor skills, breath and relaxation techniques, and connecting and interacting with friends.-

Wednesdays 3:30 at Chabad of West Boca Raton

Name *

First

Last

Gender *

Male
Female

Date of Birth *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone Number *

Email *

Which school do you attend? *

Grade *

8th Grade
Freshman
Sophomore
Junior
Senior

What does friendship mean to you? What does inclusion mean to you?

Please tell us more about your personality. For example, What is your greatest strength or talent? What are your strongest character traits?

What do you enjoy doing the most?

Parent Information

Mother's Name *

First

Last

Mother's Cell *

Mother's Email *

Father's Name *

First

Last

Father's Cell *

Father's Email *

Marital Satus *

Married
Divorced
Other

Programs

Volunteers have the opportunity to be involved in much more!

Family & Holiday Events

Seasonal family programs provide fun and entertainment for families in the special needs community. Volunteers will help set up, manage the stations, and hang out with friends.

Walk4Friendship - Sunday, February 5, 2023

Volunteers are encouraged to get actively involved by; inviting friends and family to participate, helping out at the carnival and walk in different capacities, and even creating a fundraising team.

Check here if you would like to join the Walk4Friendship Volunteer team.

Communication

It is essential to communicate in a timely manner, and we thank you in advance for all you do and the time you give to make it all possible. Friendship House will send out program updates and relevant info via text (as well as email).

Medical Information

Emergency Contact *

First

Last

*In case of emergency, when neither parent can be reached, please provide the name of a person who will assume responsibility for volunteer.

Relationship to Member *

Emergency Contact Phone *

Emergency Care *

In case of emergency requiring emegency care, I authorize the paramedics to take member to the nearest hospital, if necessary.

Health Insurance Provider

Health Insurance ID Number

Physician Name

First

Last

Physician Phone

Additional Medical Information

Any additional medical information that would be helpful for us to know in case of emergency

Allergies & Dietary Restrictions:

I hereby give my child/self permission to participate in Friendship House programs *

I permit my child/self's photo to be used for promotional purposes *

Yes, I do.
No, I do not.

please note Friendship House will not tag or use your name unless we reach out to you first and receive permission.

Pickup Permission

First

Last

I hereby give permission to the following person to pick up my child from any Friendship House activity.

Pickup Permission Relationship to Member

Pickup Phone

Liability Waiver *

First

Last

By typing my name above, I release Friendship House Corporation, its providers, and administrators from all liability for any incidence which affect the health, welfare, or safety of my child/self while participating in Friendship House Programs.

Signature Date & Time *

//Date

Time

Email Signup

I would like to recieve news & updates via email

Comment

Friendship House

17950 N Military Trail

Boca Raton FL 33496

(561) 576-1650

An affiliate of Chabad of Boca Raton

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First Name

Last Name

Email Address *

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