1 Applicant 2 Medical Info 3 All About Me 4 Parents 5 Consent Submission ID Debug Registration is for* Participant Sibling Participant's Info Participant's Name* First Last Gender* Male Female Birth Date* Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Age* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darrussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone* Grade 2019/20* Temple Affiliation* Participant Photo* Accepted file types: jpg, gif, png, jpeg. Important Info Does the participant occasionally exhibit any of the following behaviors? Biting Grabbing Kicking Cursing Hitting Other Other behavior* What is your best method of handling the situation?* Other things you would like to tell us about the participant Allergies Does applicant have any allergies?* Yes No Applicant is allergic to Hay Fever Poison Ivy/Oak 3. Insect Stings Food Penicillin Other Drugs Other Food Allergies* Drug Allergies* Other Allergies* Number of Allergies Checked Describe reaction and treatment* Does applicant require an EpiPen?* Yes No If applicant requires an EpiPen, please list all instructions* EpiPen Authorization* Should the applicant have an allergic reaction, I give permission for staff to administer the EpiPen. Medications Will the applicant be taking medications during any FC program?* Yes No Please list all prescription and non‐prescription medications the applicant will need administered during programs. Include the medication name, prescribing physician, physicians’ phone number, and the dosage instructions. When you check‐in at programs, please provide all medications (in their original packaging that identifies the prescribing physician (if prescription drug), the name of the medication, the dosage, and frequency of administration. Medications Medication Name Dosage Take at what times Reason for Taking Edit Delete There are no Medications. Add Medication Maximum number of medications reached. Medication Authorization* I hereby authorize the staff to administer these medication(s) per physicians orders at FC programs. Medical History Does the applicant have a history of or is prone to any of the following Recent injury, illness or infectious disease Chronic or recurring illness Asthma Frequent Ear Infections Seizure Disorder or Convulsions Heart Defect/Disease Hypertension Bleeding/Clotting Disorders Diabetes Joint problems (knees, ankles) Fractures Frequent Headaches Head Injury Eating Disorder Diarrhea or constipation Frequent Stomachaches Other Other* Number of Medical History Checked Please provide explanation for any checked items* Physical Activities to be limited or restricted while at FC Programs Emergency Contact Name (other than parent)* First Last Emergency Cell* All About Me! Important information that my volunteer needs to know. Communication Communication* I am verbal I am not verbal What is the best way to communicate with me? Food Food* I can eat independently I need assistance eating Are there any food limitations or a special diet?* Yes No Please specify* Behavior I Like* I don't like* If I need to be redirected, this is what helps me Bathroom Bathroom* I can go independently I need assistance I am not toilet trained Please Describe* Parent/Guardian Info Responsible Party* Mother Father Guardian Responsible Party's Info Mother's Info Father's Info Guardian's Info Name* First Last Occupation Cell Number* Cell Carrier* E-mail* Birthdate* Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Parent’s Status* Married Widowed Divorced Separated Would you like to receive emails from our FC parent network?* Yes No Other Parent's Info Mother's Info Father's Info Other Guardian's Info Name First Last Occupation Cell Number E-mail Signature Will you be sending a caregiver / aide / nurse?* Yes No Code of Conduct Parent/Guardian Signature Edit Delete There are no Code of Conducts. Add Code of Conduct Maximum number of code of conducts reached. Please read and sign the code of conduct I allow applicant's photo to be used for any and all Friendship Circle publicity purposes.* Yes No Who is filling out this form?* Mother Father Legal Guardian Signature* Comments Email This field is for validation purposes and should be left unchanged.
