MVP - The Friendship Circle of Dallas

Mitzvah Volunteer Program (MVP)
The MVP program is the perfect opportunity for your child as he/she approaches their big day!
Child's Name*
First NameLast Name
Birth Date*
MonthDayYear

Address*

Phone Number*
Area CodePhone Number
E-mail*
Bar/Bat Mitzvah Date*
MonthDayYear
School
Congregation
Why have you chosen Friendship Circle for your Bar/Bat mitzvah project?
How would you like to volunteer?
Friends @ Home (please note: this is a commitment that ends in June of current year, and does not end after your bar/bat mitzvah.)Participate in 3 Sunday Circles prior to BMI would like to run my own event for Friendship Circle. (ex. carnival, holiday event, etc.)I would like to run a fundraiser to benefit Friendship Circle. I understand that this is something that should be done with a group of friends.
PARENT AND/OR LEGAL GUARDIAN INFORMATION
Parent 1 Name*
First NameLast Name
Parent 1 E-mail*
Parent 1 Cell*
Area CodePhone Number
Parent 2 Name
First NameLast Name
Parent 2 Cell
Area CodePhone Number
Parent 2 E-mail
Marital Status
MarriedDivorced
PARENTAL PERMISSION*
I hereby give my son/daughter permission to participate in Friendship Circle programs.I permit my son/daughter's photo to be used for publicity purposes.I hereby release the Friendship Circle, its providers and administrators, from ALL liability for any incident which affects the health, welfare, or safety of my child in the provision of a Friendship Circle program for the year 2018.
Parent Signature*

I would like to make a donation to Friendship Circle in honor of my child's upcoming Bar/Bat mitzvah

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Mitzvah Volunteer Program (MVP)