• Volunteer Information

    Please Note: This Form must be filled out by a parent of the volunteer if the volunteer is under 18 years old.
    • Family Information

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    • Code Of Conduct

      1. Parents entrust their children to Friendship Circle, and volunteers must try to uphold that
      trust and responsibility.
      2. No cell phones are to be used during volunteering
      3. Volunteers MUST come 15 minutes before their program begins in order to be ready and waiting for their buddy volunteering
      5. You will be working closely with young children, many of which do not and cannot understand personal boundries. We trust you to choose appropriate attire in respect of these children ie: avoid low cut tops and short shorts.
      6. Parents should be told encouraging things about their children. Any negative feedback should be told to staff and NOT parents.
      7. No food is allowed out of the volunteer lounge.
      8. Volunteering hours must be logged on mitzvahrewards no later than a month after the program in order for it to be accepted. Absolutely no volunteer hour forms will be signed without them being logged on mitzvah rewards beforehand.
      9. Cancellations can only be in cases of emergencies and the coordinator of your program must
      be informed immediately and at least 24 hours before the start of the program

      I will promote the creation of a community based on friendship, mutual respect and a sense of personal well being. I will treat others with honor and respect because we are created in the image of G‑d. I have read the following rules, designed to promote the health and safety of all event participants, and have indicated my complete acceptance by acknowledgment below .
    • Agreement *
    • Medical Information, Emergency Contact Information, and Waivers.

    • Medical Information

    • Does volunteer have any allergies? *
    • Emergency Contact Information:

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    • Transportation

    • Transportation *
    • Transportation ll *
    • Liability *
    • Permissions and Waivers

      Medical & Emergency Release
      My son/daughter has my permission to attend Friendship Circle events. I agree not to hold Friendship Circle liable for any accident, loss or theft that may occur during the course of an event. I hereby give my permission to the physician selected by the Friendship Circle to hospitalize, and/or secure necessary treatment or anesthesia for my child, as named above, in the event that I cannot be reached in an emergency. I hereby give my permission that paramedics may transport my child to the nearest hospital, if necessary. I have indicated any pertinent medical information above. I agree to the terms and conditions of this application.

      Liability Waiver
      I will not hold Friendship Circle liable for any accidents, injuries, damage or fatalities which may occur in transit to/from aforementioned events

      I also waive all rights to sue Friendship Circle for any of the above mentioned incidents which may occur in transit.

      Cheese Pit Liability Waiver

      I/we are aware that in addition to the usual dangers and risks inherent in the sports of Monkey Bars and cheese pits as utilized by The Friendship Circle (hereinafter collectively referred to as "Releasees") activities, certain additional dangers and risks are present when using Releasees’ facilities, Releasees’ Monkey Bars and cheese pit, including, but not limited to the danger and risk of falling, jumping, landing, performing tricks and colliding with other staff, and other participants and resulting in potentially severe injuries, including paralysis or death.

      BY AGREEING TO THIS WAIVER, I/WE FREELY ACCEPT AND FULLY ASSUME

      RESPONSIBILITY FOR ALL SUCH DANGERS AND RISKS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.

      IN CONSIDERATION OF UTILIZING THE RELEASEES’ FRIENDSHIP CIRCLE FACILITIES,

      MONKEY BARS AND CHEESE PIT, AND FOR OTHER GOOD AND VALUABLE CONSIDERATION,

      I/WE HEREBY AGREE AS FOLLOWS:
      1. TO WAIVE ANY AND ALL CLAIMS for personal injury including death, illness, property damage, and negligence that I/we may have against Releasees, their partners, principals, directors, officers, affiliates, agents, employees, contractors, representatives, members, all individuals and entities acting in concert with Releasees and any and all volunteers in any way associated with Releasees.

      2. TO RELEASE THE RELEASEES FROM ANY AND ALL LIABILITY for any loss, damage, injury, death, medical or other expense that I/we may suffer or that any other party may suffer as a result of my use of Releasees’ facilities, Monkey Bars and cheese pit or in my participation in the sports of Monkey Bars and cheese pit and other Releasees activities, due to any cause whatsoever.

      3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all loss, damages, costs, expenses, claims, liability and obligation for any property damage or personal injury to any third party resulting from my use of Releasees’ facilities, Monkey Bars and cheese pit or in my participation in the sports of Monkey Bars and cheese pit and other Releasees activities, including but not limited to attorney fees and costs.

      4. THIS RELEASE OF LIABILITY SHALL BE EFFECTIVE AND BINDING upon my heirs, next of kin, executors, administrators, successors, and assigns in the event of my personal injury including death, illness, and/or property damage.

      5. I/WE ADDITIONALLY AGREE not to take unreasonable risks while participating in Monkey Bars and cheese pit, and other of Releasees’ activities, including but not limited to attempting skills or tricks that I am not qualified to perform safely or causing any other participants/spectators unreasonable risk of harm. I/we agree to follow all rules set forth by the Releasees with respect to using the Monkey Bars and cheese pit.

      I/WE HEREBY CERTIFY THAT I/we am covered by my own medical insurance, and that I/we have read and understand this Release of Liability prior to signing it, and I/we am aware that by signing this Release of Liability I/we am waiving certain legal rights which I/we or my heirs, next of kin, executors, administrators, successors, and assigns may have against the Releasees.

      Releasees shall have the right to impose any additional conditions which, in the opinion of the Releasees, will further the intent and legal rights and waivers provided herein.

      This liability waiver is made and executed in the State of Michigan and shall be governed by, enforced in and construed in accordance with the laws of the State of Michigan.

      I/we acknowledge that in executing this waiver, I/we are not relying on any inducements, promises, or representations made by the Releasees.
    • Acknowledgement *
    • Permission to participate *
    • Medicine Permissions

    • I give Friendship Circle Permission to Dispense Medication *
    • I give permission to the Friendship Circle to dispense the following to my child:
    • Photo Permissions

    • I hereby give permission for my child's photo to be put on the Friendship Circle website: *
    • I hereby give permission for my child's photo to be used for publicity purposes (i.e. brochures, newspaper): *
    • I hereby give permission for my child's photo to be posted on Friendship Circle's Facebook & other Social Media pages: *