Participant Code of Conduct

As a participant in Friendship Circle:
∗ I understand that Friendship Circle will match me with a teenage volunteer.
∗ I understand that, it is necessary for me and my parent(s)/guardian(s) to assume full oversight and
supervision responsibilities with respect to all activities Friendship Circle’s assigned teen mentor(s) share(s)
with my child in connection with his/her participation in the program.
∗ I agree to respect the privacy of all participants of the Friendship Circle and to keep personal information
confidential.
∗ If someone gets hurt or some other incident occurs during a Friendship Circle program, it is my responsibility
to immediately report the occurrence to Friendship Circle staff.
∗ AS AN EXPRESS PRECONDITION OF YOUR CHILD’S ADMISSION INTO THE PROGRAM, THIS FORM MUST BE SIGNED AND RETURNED TO THE FRIENDSHIP CIRCLE. EXECUTION OF THIS FORM SERVES AS YOUR
ACKNOWLEDGMENT: (1) OF THE CRITICAL IMPORTANCE FRIENDSHIP CIRCLE PLACES ON YOUR
AGREEMENT TO AT ALL TIMES HAVE AT LEAST ONE PARENT/GUARDIAN "ON PREMISES" DURING THE
ENTIRETY OF EACH FRIENDS@HOME RELATED VISITATION; AND (2) THAT THE PARENT/GUARDIAN TAKES
FULL RESPONSIBILITY FOR EVERYTHING THAT TRANSPIRES DURING THE VISIT AND EXEMPTS FRIENDSHIP CIRCLE FROM ANY RESPONSIBILITY OR LIABILITY;
∗ THE FAILURE TO ABIDE BY ANY OF THESE REQUIREMENTS MAY, IN THE EXERCISE OF FRIENDSHIP CIRCLE’S SOLE AND ABSOLUTE DISCRETION, RESULT IN THE TERMINATION OF ANY OR ALL FURTHER PROGRAM RELATED ACTIVITIES WITH YOUR CHILD.
∗ I have carefully read and agree to abide and be bound by all additional rules and policies in the Friendship
Circle Handbook and any additional rules pertinent to specific events.
 

I give my child permission to participate in Friendship Circle. I understand that participation in Friendship
Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and give consent for myself and/or my child to participate in this
activity. I also understand that participation in this activity is entirely voluntary and requires participants to
abide and be bound by all applicable rules and policies as set forth in the Friendship Circle Handbook, as it
may be modified from time to time and any additional rules pertinent to specific events. I understand that
this local Friendship Circle is independently owned, operated and controlled I release the Friendship Circle
and its employees, directors, officers, and volunteers as well as its affiliates and all other organizations
associated with Friendship Circle from any and all claims or liability arising out of this participation.

PARTICIPANT’S COMMITMENT TO EVERYONE’S SAFETY AND WELL-BEING

Friendship Circle provides very special and unique opportunities for volunteers, special friends and their families
to enrich the lives of each other. In doing so, most participants will encounter new and sometimes challenging
situations. Thus, it is imperative to set expectations at the beginning so that volunteers, special friends, and
parents understand what they can expect. Therefore, volunteers, special friends, and their respective families
each certify and agree to the following by signing below that I:
• Understand that participation in this activity is entirely voluntary and requires everyone to abide by
applicable rules and standards of conduct;
• Understand that photographs can be private and sensitive and should not be shared by all.
• Do not use or possess any illegal drug, alcohol or controlled substances at any time, including at Friendship
Circle events or programs;
• Do not have any alcohol or tobacco products at Friendship Circle events or programs;
• Do not bring any weapons, firearms or other dangerous items to any Friendship Circle event or program;
• Do not have any unsecured firearms in a home which hosts a Friends at Home program;
• Have not and do not have any individual that has been convicted of a crime, other than minor traffic
violations, living at or visiting a home that hosts a Friends at Home program and have not themselves been
convicted of a crime;
• Do not have any individual that has a history of violence or abuse of any kind living at or visiting a home that
hosts a Friends at Home program;
• Agree to have a background check performed on me;
• Understand that participation in Friendship Circle activities involves a certain degree of risk and can be
physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given
consent for me and/or my child to participate in this activity and knowingly and freely assume all such risks;
• Will not participate in any activity that I believe I and/or my child cannot perform in accordance with the
Friendship Circles activities’ instructions or in a safe manner;
• If I observe any significant hazard during my or my child’s participation in any event or program, I will stop and/or have my child stop participating in the event and inform the Friendship Circle of such hazard
immediately;
• Agree to abide by and perform everything stated in the Handbook in its entirety.
• Agree Friendship Circle is not responsible for any damages to personal property or injury in which the
Friendship Circle had no knowledge of the particular hazard, or any activity outside of Friendship Circle
sponsored events;
• Acknowledge that Friendship Circle is an independently owned, operated and controlled local corporation.
• Release Friendship Circle, the directors, board, officers, activity coordinators, and all employees,
volunteers, related parties, and other organizations associated with the activity from any and all claims or
liability arising out of this participation;
• Agree that in case of emergency involving my child, I understand every effort will be made to contact me. In
the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult
leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of
medication for my child. Medical providers are authorized to disclose to the adult in charge examination
findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up
and communication with the participant’s parents or guardian, and/or determination of the participant’s
ability to continue in the program activities.