Sunday Socials Waiver 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 1:00 to 3:00PM 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! 818-262-5016 or Info@ValleyFriendshipCircle.com Full Name* First Name Last Name E-mail* I would like to receive news and updates by email Phone Number* 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 agree to the Liability consent:* Yes 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. I accept the Transportation Consent. (By not agreeing to these terms, I am choosing to arrange transportation for my child to and from trips).* Yes Emergency Information: Emergency Contact* First Name Last Name Phone Number* Relationship:* 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. Signature of Parent/Guardian:* Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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