This program aims to build a unique relationship between children, families and volunteers. Volunteers will visit
at home weekly (or as arranged) and will spend quality time with your child. This can be the child who usually
participates in friendship circle activities or siblings in order that they have fun with one on one attention. We also
have events 4-6 times a year for children to and their volunteers to enable them to share experiences together
and build their friendship. Our volunteers range from high school students to university students and are both
male and female.
The questions below will help us to find volunteers who suit your needs the best.
These questions allow us to care for your child appropriately on whichever programme they are attending irre-
spective of whether you are in attendance. It also allows our volunteers to be trained specifically to cater for any
needs that may arise.
Please note that if your child requires medication whilst on a friendship circle outing / activity it will need to be
labelled with their name and must have the issue and expiry date visible.
Please provide your family doctors contact details
Medicare & Health Fund Details
Authorisation: I confirm that I am the legal guardian of this child and I confirm that the information contained it
this form is correct.
I understand that it is my responsibility to inform friendship circle if there are any changes to the information
I understand this form can be used for my child on any friendship circle activities whether home visitation, in
house programmes, outings or residential camps.
If there are any activities in which I do not wish my child to participate, I will inform friendship circle.
Thank you. Your form has been submitted.
Friendship Circle provides families with a supportive community that gives you the opportunity to form real friendships within a non-judgmental environment.
The Australian Friendship Circle Inc is supported by the generosity of corporate sponsors and private individuals alike. You can help: www.donate4kids.org.au
1300 785 593