Friendship Circle Camp Day

Join Friendship Circle for an exciting Camp Day designed for children, teens, and young adults with special needs!

Wednesday, June 24 | 11:00 AM - 3:00 PM
Pick-up and drop-off will be at Demarest Farms. The group will be brought to Billy Beez at Palisades Center Mall by a Sprinter van from Business Class Limo.

Cost: $50 per participant
Parent / Guardian Information
Full Name*
First Name Last Name
E-mail*
Phone Number*
Emergency Contact
Please provide someone other than the parent/guardian listed above. This person will be contacted if we are unable to reach the parent/guardian.
Full Name*
First Name Last Name
E-mail*
Phone Number*
Participant Information
How many participants are attending?* $50 per participant
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Anything we should know about the participant? (Allergies, medical needs, accommodations, etc.)*
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Anything we should know about the participant? (Allergies, medical needs, accommodations, etc.)*
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Anything we should know about the participant? (Allergies, medical needs, accommodations, etc.)*
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Anything we should know about the participant? (Allergies, medical needs, accommodations, etc.)*
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Anything we should know about the participant? (Allergies, medical needs, accommodations, etc.)*
Payment
Optional Donation:

$36$54$108
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Parent / Guardian Information

Emergency Contact

Participant Information

Payment

Community

Youth

Teens

Adults

Friendship Circle

Upcoming