Spring Break 24-25 - Friendship Circle Miami

THE LAST DAY TO REGISTER IS WEDNESDAY, MARCH 19!

Participant's Name

First

Last

Participant's Age

Are you a current participant?

Yes
No

If you are not a 24-25 participant, click the link below.

Click here for the: Children/Teen 5-17 registration form.

Click here for the: Adult 18-22 registration form.

For new (1st time) participants, once the 24-25 registration form is submitted we will contact you to schedule an entrance interview with YOU and YOUR CHILD in order to get to know you both a little better! This is required BEFORE starting in camp or after-school programs.

Parent's E-mail

Parent's Cell Phone Number

Any allergies?

Can your child be in photos?

Yes
No

Is your child potty trained?

Yes!
Mostly, but needs reminders.
No - they wear diapers

Since your child is not potty trained, unfortunately during our Camps, and No School Fun Days, the child must be potty trained and able to go to the bathroom without assistance, or an aid MUST attend with your child to assist with going to the bathroom. We do not have the capability to change diapers or pull-ups. Thank you for your understanding.

Will your child be accompanied by their RBT/Aide? If so, we MUST have a copy of their background check and contract signed PRIOR to camp starting.

Yes
No

Upload a copy of the rbt/aid's background here:

Click or drag a file to this area to upload.

Will you be attending all 5 days?

Yes - $250.00
No - $0.00

Which Days?

Monday, March 24: Bowling - $65.00
Tuesday, March 25: The Little Farm - $65.00
Wednesday, March 26: Urban Air - $65.00
Thursday, March 27: Key Biscayne Nature Center - $65.00
Friday, March 28: Art Thyme - $65.00

Are you currently on scholarship?

Yes
No

Scholarship Code

Total

Item Quantity Qty Total

There are no products selected.

Will you be attending all 5 days? - Yes 1 $250.00

Will you be attending all 5 days? - No 1 $0.00

Which Days? - Monday, March 24: Bowling 1 $65.00

Which Days? - Tuesday, March 25: The Little Farm 1 $65.00

Which Days? - Wednesday, March 26: Urban Air 1 $65.00

Which Days? - Thursday, March 27: Key Biscayne Nature Center 1 $65.00

Which Days? - Friday, March 28: Art Thyme 1 $65.00

Subtotal

Total $0.00

Parent's Name

First

Last

Stripe Credit Card

THE LAST DAY TO REGISTER IS WEDNESDAY, MARCH 19!

If you are not a 24-25 participant, click the link below.

Click here for the: Children/Teen 5-17 registration form.

Click here for the: Adult 18-22 registration form.

For new (1st time) participants, once the 24-25 registration form is submitted we will contact you to schedule an entrance interview with YOU and YOUR CHILD in order to get to know you both a little better! This is required BEFORE starting in camp or after-school programs.

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