SYMPHONY CIRCLE APPLICATION
See Below for Dates & Fees
Partial & Full Scholarships Available!
Times: 10 am- 12 pm
What activities does your child enjoy?
Describe your child's Special Need?
Is there anything in particular that your child does not like doing?
Does your child exhibit any serious behavioral issues that we need to be aware of? If so, please describe.
Is there anything you would like us to know about your child?
Volunteers will be assisting your child. To what personality does your child respond best?
PLEASE CHECK OFF THE DATES THAT YOU WOULD LIKE YOUR CHILD TO JOIN SYMPHONY CIRCLE
Sept 20 | Oct 25 | Nov 8 | Dec 6 | Jan 10 | Feb 7 |
Mar 13 | Apr 3 | May 1 | Jun 19
ANY PRESENTING MEDICAL CONDITIONS OR ALLERGIES? YES NO
IS YOUR CHILD ON A RESTRICTIVE DIET? YES NO
ADDITIONAL MEDICAL INFORMATION OR COMMENTS:
PLEASE CHARGE MY CARD PER MONTH - $40.00 (FOR THE PREVIOUSLY SELECTED DATES)
QUESTIONS OR COMMENTS:
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About Us | Programs | Volunteers | Join the Circle | Multimedia | VFC Blog | Kids Place | Calendar | VFC Raffle Fundraiser | Friendship Sensory Garden | Contact UsValley Friendship Circle • 3816 Laurel Canyon Blvd. • Studio City, CA 91604 • 818-508-6633