1 Volunteer2 Programs3 Signature Submission IDDebugYour InfoName* First Last Birth Date*MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneCell Number*Cell Carrier*Email* Highest Level of Education*High SchoolSome College2 Year College Degree (Associates)4 Year College Degree (BA/BS)Master's DegreeDoctoral DegreeTemple Affiliation*Status*SingleMarriedWidowedDivorcedSeparatedT-Shirt Size*XSSMLXL2XL3XL4XLFor Program Purposes OnlySleeve Length*Short¾LongMedical InfoAny allergies?*YesNoPlease specify*Please list any medical conditions that we should be aware ofEmergency Contact Name* First Last Emergency Cell* Jr. SportsSundays, 9:30-11:00am Register for Jr. Sports May 5 May 19 Saturday Night FunRegister for Saturday Night Fun Saturday Night, Feb 23 - 7:15-9:15pm Family EventsWalk Sunday, October 28 - 12:00pm Mega Mitzvah Mania Tuesday, December 25 - 10:00am-12:00pm Holiday ProgramsSukkot Festival Wednesday, September 26 - 5:00-6:30pm Chanukah Program Wednesday, December 5 - 5:00-6:30pm Purim Bash Thursday, March 21 - 5:00-6:30pm Matzah Bakery Sunday, March 31 - 1:30-3:00pm Cooking Jr. CircleWednesdays, 4:15-5:30pmRegister for Cooking Circle Jr. December 19 January 16 February 13 March 13 May 15 Art Circle Jr.Tuesdays, 4:15-5:30pmRegister for Art Circle Jr. December 11 January 8 February 5 March 19 May 14 Allie’s Winter Camp Register for Allie's Winter Camp December 23 & 24 - 10:00am-1:00pm December 26 & 27 - 10:00am-3:00pm Young Adult Camp Register for Young Adult Camp December 23 & 24 - 10:00am-1:00pm December 26 & 27 - 10:00am-3:00pm Teen BasketballMonday, 5:00-6:00pmRegister for Teen Basketball October 8 October 15 October 22 October 29 November 5 November 12 November 26 December 17 January 7 January 14 January 21 February 4 February 11 February 25 March 4 March 18 March 25 April 1 April 8 April 15 May 6 May 13 June 3 Young Adult AthleticsMonday, 5:00-6:00pmRegister for Young Adult Athletics October 8 October 15 October 22 October 29 November 5 November 12 November 26 December 17 January 7 January 14 January 21 February 4 February 11 February 25 March 4 March 18 March 25 April 1 April 8 April 15 May 6 May 13 June 3 Torah Circle/Torah TeensSundays, 9:30am-12:00pmRegister for Torah Circle October 14 October 21 November 11 December 2 December 9 January 6 January 13 January 20 February 3 February 10 March 3 March 17 March 24 April 7 Young Adult Torah TimeSundays, 9:30am-12:00pmRegister for Young Adult Torah Time October 14 October 21 November 11 December 2 December 9 January 6 January 13 January 20 February 3 February 10 March 3 March 17 March 24 April 7 Teen Scene ClubsWednesdays, 5:00-6:30pmRegister for Teen Scene Clubs October 24 November 7 November 28 December 12 January 9 January 23 February 6 February 27 March 6 March 27 May 8 May 22 June 5 Efshar CircleTuesdays, 3:30-5:00pmRegister for Efshar Circle October 9 October 23 November 6 November 20 December 4 December 18 January 15 March 5 March 26 April 9 May 7 May 21 June 4 Staff ConsentVolunteer* I have made my own record of the dates I have checked above. I understand that I will be counted on as a staff member for these programs and look forward to participating unless I inform the Friendship Circle otherwise. I allow my photos to be used for any and all Friendship Circle publicity purposes.*YesNoVolunteer Status*I am a new staff member at Friendship Circle.I have been a staff member before at Friendship Circle.Signature*CommentsNameThis field is for validation purposes and should be left unchanged.