FC Extreme Volunteer Sign Up: Winter Session

Are you a new or returning volunteer?

New VolunteerReturning

New to FC Palisades?

Please fill out a New Volunteer Form, in addition to this form, and we will schedule a meeting with you and a parent to speak about Friendship Circle and the expectations we have for our volunteers.

Volunteer's Name:*

First Name Last Name

Date of Birth:*

Month Day Year

Grade (2025-2026):*

Cell Phone Number:*

Best Contact E-mail:*

Parent Name:*

First Name Last Name

Parent Phone Number:*

Parent E-mail:*

Days Attending:*

December 28December 29December 30

Volunteers who sign up for all three days of camp will get FIRST PREFERENCE, as this helps provide consistency for our members. If you're only available for some days, we still appreciate your help and will add you to our alternate list. We'll reach out about specific days based on your availability and our needs.

T-shirt Size: * T-shirt must be worn daily

Shoe Size:* (For Bowling)

What are you most looking forward to at Friendship Circle Extreme?*

Emergency Contact #1:*

First Name Last Name

Relationship:*

Phone Number:*

Emergency Contact #2:*

First Name Last Name

Relationship:*

Phone Number:*

Are you 18 or older?*

I am the parent of a volunteer under 18Yes, I am 18 or older

In the event that neither parent nor the emergency contact can be reached, Friendship Circle has my permission to render any necessary first aid or to secure care by a physician to my child while attending FC Extreme. I further agree to pay all charges for that care and/or treatment.*

I Agree

In the event that neither parent nor the emergency contact can be reached, Friendship Circle has my permission to render any necessary first aid or to secure care by a physician to me while attending FC Extreme. I further agree to pay all charges for that care and/or treatment.*

I Agree

I permit my child to to attend and participate in all trips and outings organized by Friendship Circle as part of the program.*

I agree

I give permission to The Friendship Circle to transport my child to and from excursions while my child is in their care. I agree to release the 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 agreeI will arrange transportation to and from trips for my child.

In the event that my child is unable to attend one of the below sessions, I will notify The Friendship Circle as soon as possible so they can plan accordingly.*

I agree

In the event that I am unable to attend one of the below sessions, I will notify The Friendship Circle as soon as possible so they can plan accordingly.*

I agree

I permit my child's photo to be used for publicity purposes.*

YesNo

I permit my photo to be used for publicity purposes.*

Yes

What would you prefer when group photos are taken?*

My child can be in group photos as long as their face is not highlightedPlease ask my child to step out of group photos.

I have carefully considered the risks involved and agree to allow my child(ren) to participate in the activities with The Friendship Circle. I also understand that participation in these activities is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth by Friendship Circle. I understand that Friendship Circle is independently owned and operated. In consideration of the opportunity to send my child to The Friendship Circle, and by engaging in participation, I, myself, and on behalf of my child, hereby agree to release, hold harmless, and waive any and all claims against The Friendship Circle and its employees, directors, officers, and volunteers, as well as its affiliates and all other organizations associated with The Friendship Circle, from any and all claims or liability arising out of this participation. I understand that this form involves the release of legal rights.

By entering my initials below, I agree to each statement above and release The Friendship Circle of the West Coast from any and all liability.

Parent Signature*

Volunteer Signature*

Date*

Month Day Year

at Hour Minutes

Friendship Circle Extreme is made possible through generous support and community involvement. While volunteers are not charged to attend - and we’re so grateful for the time, energy, and heart you’re bringing - each day of camp includes trips, activities, lunch, and supplies, which cost about $75 per volunteer, per day.

If you’re in a position to donate toward your spot, it would mean a lot. Any amount helps and goes directly toward making this meaningful experience possible for all the kids and teens involved.

Contribute toward your spot:

Sponsorships:

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total

$0.00

Looking forward to an awesome camp experience together!

FC Extreme Winter 2025: Volunteer Application

Additional Contacts (In Case of Emergency):

Parental Consent:

Give the Gift of Camp!