Father's NameFirst NameLast NamePhone NumberArea CodePhone NumberE-mailMother's Name*First NameLast NamePhone NumberArea CodePhone NumberE-mail*Gender*MaleFemaleBirth Date1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearSchool*Address*Street AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryCell Number*Area CodePhone NumberYES, I recieve text messagesPhone Number*Area CodePhone NumberCome to Events, Receive Credit! Go to Volunteers Section to Learn MorePrograms of Interest*FRIENDS AT HOME - You and a partner create a special bond with a kid by visiting them once a week for an hour or two at their home home or arranged location.SUNDAY CIRCLE - First Sunday of every month. Play, laugh and interact with the kids, ages 2-7, under organized activities. Meets in Studio City.HOLIDAY PROGRAMS - Celebrate major holidays with the Valley Friendship Circle familiesTWEEN MUSIC CIRCLESYMPHONY CIRCLE- A monthly program that teaches Judaic content through song, interactive musical activity and crafts as well as a variety of musical instruments. Ages 6-16.GIRLS SUMMER CIRCLE - Female volunteers. One week in the summer, volunteers will be paired one on one with a girl with special needs and participate together organized summer activities, arts and crafts and local trips.When would you like a volunteer to come to you home?First ChoiceSundayMondayTuesdayWednesdayThursdayTimeFirst ChoiceMorningAfternoonEarly EveningEveningWhen would you like a volunteer to come to you home?Second ChoiceSundayMondayTuesdayWednesdayThursdayTimeSecond ChoiceMorningAfternoonEarly EveningEveningHave you been to a VFC program?YesNoWhich Program?How did you hear about Valley Friendship Circle?Do you have a friend that you would like to volunteer with?Friend Full Name*First NameLast NameFriend Father's E-mail*Friend Father's Cell Number*Area CodePhone NumberReferenceReference Full NameFirst NameLast NameReference E-mailReference Cell Number*Area CodePhone NumberConsentAs a volunteer of the Valley Friendship Circle:I will treat others with honor and respect because we are all created in the image of G‑d.I agree to keep all personal information related to VFC families and volunteers confidential.I will never go to a [email protected] visit without my partner.I will never go with the child without their parent or gaurdian present.I agree to act responsibly when spending time with the child I am matched with.I will only use my cell phone in case of emergency during [email protected] visits.I understand that it is my responsibility to immediately report to a VFC Staff if someone gets hurt while I am volunteering.If I am not able to volunteer during my scheduled visit, I will notify the parents of my special friend at least 48 hours in advance.I understand that once I commit to attend an event, the Valley Friendship Circle staff and special friends are relying on me to be there. I agree to attend and give it my best effort. If I cannot attend, I agree to notify a VFC staff, at least 48 hours in advance.I understand that I can turn to any VFC staff with any questions or concerns about my [email protected] visits.I agree to represent the Valley Friendship Circle to the best of my abilities.I agree to volunteer for Valley Friendship Circle. I grant VFC permission to use my name, image, likeness, or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts. I understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth in the above, as it may be modified from time to time.I release the VFC and its employees, directors, officers and volunteers as well as all other organizations associated with VFC from any and all claims or liability arising out of this participation.Volunteer SignatureFather's SignatureMother's SignatureDateMonthDayYear SubmitShould be Empty: This page uses TLS encryption to keep your data secure.