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Summer Circle 2023 Registration

    • Staff members and volunteers have joined to provide everyone with a  safe and fun experience!
    • Participants who have potential behaviors that may cause harm to themselves or others, tendency to wander/run from a group or who needs help in the restroom, is welcome to attend with a parent or aid.
    • VFC Does not administer medication if your child needs to take medicine between 9:30-3:00 they must be able to take on their own, or it can be brought to them by a parent/guardian.
    • Please contact Chanie Baitelman with any questions! 8182625016 [email protected]
  • Participant's Info

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  • Medical Information

  • Agreement:

  • I agree to release the Valley Friendship Circle and its providers and administrators, from all liabilities for any incident which affects the health, welfare and safety of my child during the provided transportation.

  • I give permission to The  Valley Friendship Circle to transport my child to and from excursions while my child is in their care. I agree to release the Valley Friendship Circle and its providers and administrators, from all liabilities for any incident which affects the health, welfare and safety of my child during the provided transportation.

  • 2. Parents Information

  • Mothers Info:

  • Fathers Info:

  • 3. Emergency Information

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  • 4. Payment Information

    A $50 non-refundable registration fee per child applies as part of this registration.
  • $0.00
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    Billing Address
  • 5. Terms and Conditions

    • PARENTAL CONSENT:  I hereby give consent for my child to participate in all activities of Valley Friendship Circle Summer Circle both on and off site, trips, transportation to and from trips etc., unless I advise you otherwise in writing.

    • Limited Guardianship Approval: I hereby consent that CGI's directors - Rabbi _Yossi Baitelman____ & Mrs.Chanie Baitleman ____ be granted limited guardianship capabilities with regards to signing waivers on behalf of my child / children for trips specified in this year's camp schedule. (I do understand that I may still be asked to fill out waivers, as not all locations accept this consent) 

    • PAYMENT AND CANCELLATION:  Payment terms are a $50.00 non-refundable deposit per camper to accompany registration.  The balance is due by June 15, and is non-refundable after that date.

    • DISMISSAL OF Participant:  Parent fully understands and agrees that the Summer Circle reserves the right to dismiss, in its sole discretion, any participant whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the fellow participants or who violates rules and regulations.  In the event of dismissal, tuition will be refunded on a prorated basis less the $50.00 registration deposit. 

    • INDEMNIFY & HOLD HARMLESS: I further release and agree to indemnify and hold harmless Valley Friendship Circle (VFC) and its officers, servants or assignees from any liability concerning our child’s involvement in VFC and further agree that the use of any premises during the VFC Summer Circle day is made at the risk of the registrant.

    • I have read and agree to all of the terms and conditions in this Application Form. I am including a non-refundable $50 registration deposit per camper along with submission of this form.  I further agree to remit the full tuition and any other fees by June 15 as per the agreed timeline of my choice on this form. 

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