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Waiver

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Terms and ConditionsI understand, on behalf of my spouse (if applicable) child, and household, that my family and I are still bound by the terms and condition and policy documents previously signed.
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I agree

I agree that any material changes (including change of address), additional children, or family circumstances (e.g. marriage or divorce) which may in any way affect Friendship Circle activities, including the Friends at Home program, will be reflected in
I agree

Is every member of your household up to date with the MMR vaccination?
Yes

No

Please provide additional information:

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Any changes that need to be made that are relevant to you, your child with special needs and their siblings, can be made by clicking to the my-profile page and accessing the edit forms from the menu drop-down button. All other changes, for example, spousal information, marriage/divorce/death, criminal disclosures, permissions etc, must be provided in the "details" field below.

Details *

Waiver *
(INCLUDING REQUIRED CRIMINAL DISCLOSURES, PERMISSIONS, RELEASES, ETC.)