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2025-26 Registration

  • New York Friendship Circle Registration

    Program Year 2025-26
  • Participant Information

  • Parent/Guardian/Contact Person


  • Help us get to know your child/applicant



  • Medical and Emergency Information

  • Media Release Consent

  • I give permission for the New York Friendship Circle to photograph and/or record video of my child during Friendship Circle programs and events. I understand that these images and videos may be used on the organization’s website, social media platforms, and in print materials to promote the mission and activities of the Friendship Circle. I understand that names of participants are NEVER used.

  • Waiver of Liability

  • I give permission for the participant named above to participate in Friendship Circle events, including but not limited to: bowling, music, art, cooking, hip hop dance, sports, zumba and any other programs sponsored or run by the New York Friendship Circle.
     
    I hereby waive and release NY Friendship Circle and The Chai Center, their officers, directors, instructors, volunteers and any affiliates from The Chai Center or other organizations providing services to The Chai Center or the NY Friendship Circle from any claims of liability, including accidents, injury, or loss of personal property while participating in any events hosted or sponsored by the NY Friendship Circle and/or The Chai Center on or off their premises.
     
    This acknowledgment of risk and waiver of liability has been read, understood completely, and signed voluntarily by the parent / legal guardian of the participant listed above.
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Ariella's NY Friendship Circle
501 Vanderbilt Parkway
Dix Hills, NY 11746
631-351-8672