Please Note that all yellow fields are required and after you have
completed your registration you will be redirected to our website.

Child #1Name:

Surname:

Date Of Birth:

Age:

School:

Medical Condition
Or Allergy:

Expand To add a second child.

Child #2 Name:
Surname:
Date Of Birth:
Age:
School:
Medical Condition Or Allergy:

Home Address:

Home Phone:

Mom's Name:

Mom's Surname:

Mom's Email:

*

Mom's Cell No:

Dad's Name:

Dad's Surname:

Dad's Cell No:

Email Address:

*

Friends At Home/Big Buddy System

Day of week I prefer:

Time of day I prefer:

Volunteer/s Gender/s:

What I am looking for in a buddy:

Programs At Friendship Circle:

Membership fee of R1200 for the year per family all programs (excluding Hebrew School and fundraisers)

Membership fees grants you free access to all programs and reduced rates to fundraiser events)

Hebrew school option is an additional R100 per session (R2600) per child. Can also be added to the cart or debited monthly

For any bursaries or payment plans please don't hesitate to email leah at friendsinsa@gmail.com or levi at rabbi@friendsinsa.co.za