Young Adult Sign Up - The Friendship Circle of Dallas

Why join?
At Friendship Circle, we believe that everyone deserves friendship. We are so excited to have you join the FC family!

If you have any questions, you may reach us at 214-810-2770.

Please note that through community support and our annual fundraisers, we are able to keep our programs free or at a minimal cost. No one is turned away due to lack of funds!
Member Information:
Name *
First Name Last Name
Birth Date*

Month Day Year
E-mail (if applicable)*
Mobile Number (if applicable)*

Area Code Phone Number
School/day hab/ employment? Please list.*
Address/area the member lives in:
Parent's Information:
How would you prefer to be contacted about events and reminders? check all that apply

EmailText MessageMobile PhoneWhatsApp
Parent 1 Name*
Parent 1 Mobile*
Parent 1 Email*
Parent 2 Name*
Parent 2 Mobile*
Parent 2 Email*
Please provide a reference who is not a family member.
Reference name*
Mobile Number*
Relationship*
Email*
Whom may we thank for referring you to Friendship Circle?
Member Medical Information
For drop-off programs, should a parent not be available, please list another contact.
Full Name
First Name Last Name
Phone Number

Area Code Phone Number
About this member:
Does this member have any allergies? Please list.
Does this member have any physical activities which would prevent he/she from participating in some activities? Please list.
If this member has a physical disability, will he/she be coming with an aid for longer programs (i.e. camp)?
We try to accommodate all behaviors. However, if a certain behavior becomes problematic (example: constant hitting,) we may ask that member be accompanied by an aid. Please list any behaviors we should know about.
Member Interests:
Which types of programs would member be interested in?*

Community volunteeringSports/movementCookingEmployment opportunities
Other interests:
We love when parents get involved in FC! Either through sharing our events, getting involved in programs and fundraisers, there are so many ways and we thank you in advance for your support!
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Member Information:

Parent's Information:

Member Medical Information

Member Interests: