To Calculate Jewish Birthday
Example: David or דוד
 
Parent One
Please complete address info if different than above
Parent Two
Please complete address info if different than above
In case of an emergency please contact:
Medical Information
Parental Consent
 
My child 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 can 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.
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