• Volunteer Information

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  • Parents/Guardian Information

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  • Medical Information

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  • Insurance Information

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  • Accident & Trip Declaration

  • Accident: As the parent/legal guardian of {fullname3}, I/we authorize any adult acting on behalf of Friendship Circle Los Angeles to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Friendship Circle personnel will try, but are not required, to communicate with me prior to such treatment.

    Trips and Outings: I hereby give permission for my child/self, {fullName3}to attend and participate in all trips and outings organized as part of the program by Friendship Circle.

  • Parental Consent and Volunteer Agreement

    For Volunteers Under 18
    • I give my teen permission to volunteer at all Friendship Circle events.
    • I understand that community service or fellowship points will only be issued to my teen for hours submitted on a monthly basis, on our website or app.
    • I understand that community service hours will be submitted to your school per your request, with a 5-7 business day process time.
  • Release to Perform Background Check

    For Volunteers 18 and Above
  • I hereby grant the Friendship Circle of Los Angeles permission to perform a background check on me as required by the law. This information will be kept confidential.

  • 2018-19 Program Lineup

    Choose which programs you are interested in, and our coordinators will be in touch to get you started!
  • Winter Camp - December 24-28, 2018 (Mandatory workshop: Sun. Dec. 23)

    Summer Camp - August 5-10, 2019 (Mandatory workshop: Sun. Aug. 4)

    If you are interested in winter or summer camp, please email racheli@fcla.org to receive a separate camp application

  • Commitment to Safety & Well-Being

  • Friendship Circle provides very special and unique opportunities for volunteers, special friends and their families to enrich the lives of each other. In doing so, participants might encounter new and sometimes challenging situations. Thus, it is imperative to set expectations at the beginning so that volunteers, special friends, and parents understand what they can expect. Therefore, volunteers and a parent must each certify and agree by signing below that they:

    • Understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct;
    • Understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for me and/or my child to participate in this activity;
    • Acknowledge the risk of injury from the activities involved in the Friendship Circle events or program and knowingly and freely assume all such risks;
    • Will not allow me/my child to participate in any activity that you believe you and/or your child cannot perform in accordance with the Friendship Circles activities’ instructions or in a safe manner;
    • If you observe any significant hazard during your participation in any Event, you will stop participating in the event and inform the Friendship Circle of such hazard immediately;
    • Release Friendship Circle, the directors, board, officers, activity coordinators, and all employees, volunteers, related parties, and other organizations associated with the activity from any and all claims or liability arising out of this participation provided that care was taken to insure safety;
    • In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for me/my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities.
    • I grant the Friendship Circle permission to use my or my child’s name, image, likeness or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts.
  • Volunteer Code of Conduct

  • I will promote the creation of a friendship community based on mutual respect and a sense of personal well-being. I will treat others with honor and respect because we are all created in the image of G-d.

    As a volunteer of Friendship Circle:

    • I understand that Friendship Circle expects me to behave responsibly. I agree to utilize my best judgment
    • and sense of responsibility when spending time with the child with whom I am matched.
    • I understand that the use of a cell phone while volunteering does not promote a healthy friendship and should only be used in case of emergency.
    • Friends @ Home: In the event that I am unable to volunteer during my scheduled visit, I will try to find another day to substitute and I will notify the parents of my special friend, and my Friends @ Home coordinator at least 48 hours in advance.
    • I agree to respect the privacy of all participants of the Friendship Circle and to keep personal information confidential.
    • I understand that once I commit to attend an event, the Friendship Circle staff and special friends expect me to be there. I agree to attend and give it my best effort. In the event that I cannot attend, I agree to give notice to Friendship Circle staff, at least 48 hours in advance.
    • If someone gets hurt or some other incident occurs while I am volunteering, it is my responsibility to immediately report the occurrence to Friendship Circle staff.
    • I agree to represent the Friendship Circle to the best of my abilities.
    • I have carefully read and agree to abide and be bound by all additional rules and policies in the Friendship Circle Handbooks and any additional rules pertinent to specific events.
    • I agree to volunteer for Friendship Circle. I grant Friendship Circle 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 Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and agree to participate in this activity. I also 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 Friendship Circle Handbook, as it may be modified from time to time. I understand that this local Friendship Circle is independently owned, operated and controlled. I release the Friendship Circle and its employees, directors, officers, and volunteers as well as its affiliates and all other organizations associated with Friendship Circle from any and all claims or liability arising out of this participation.
  • Personality & Preferences

    In an effort to match you with a child that is most suitable for you, please complete the questions below. This is not a test – just our way of getting to know you better!
  • Every Friendship Circle Volunteer is required to have two references.

    Please detach the following 2 reference forms, have them completed and send them back to us via email, drop off at our office or fax them to 310-280-0974. Your application is complete only upon receipt of your reference forms.

  • References (Required)

  • We require two reference forms to be submitted for your application to be complete. It can be a Rabbi, teacher or someone that is familiar with how you work with children. Simply direct them to the link below, or print the forms for them and email them to us.

    Reference Forms

  • Sponsor A Child (Optional)

    We offer over 18 social, recreational, and educational programs for the children throughout the year. Please join us in making the FC experience possible for a child who has special needs!
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