<!DOCTYPE HTML PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head id="Head1">
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="en" />

<meta property="og:image" content="https://w2.chabad.org/media/images/1075/uVFj10753022.jpg" itemprop="image" width="150" height="150" />
<meta property="og:image:width" content="150" />
<meta property="og:image:height" content="150" />
<meta name="keywords" content="Adult,Sign,Up" />
<meta name="title" content="Adult Sign Up - Philly Friendship Circle" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="781942-781944-1541410-1607675" />
<meta name="article-keywords" content="2185-6760-1675-1709-2471-1674-2170-2898" />
<meta name="scope-aid" content="781942" />
<meta name="scope-aid" content="781944" />
<meta name="scope-aid" content="1541410" />
<meta name="scope-aid" content="1607675" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="6760" />
<meta name="article-keyword" content="1675" />
<meta name="article-keyword" content="1709" />
<meta name="article-keyword" content="2471" />
<meta name="article-keyword" content="1674" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta property="og:url" content="https://www.phillyfriendship.com/templates/articlecco_cdo/aid/1607675/jewish/Adult-Sign-Up.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@chabad" />
<meta property="og:title" content="Adult Sign Up - Philly Friendship Circle" /><link rel="canonical" href="https://www.phillyfriendship.com/templates/articlecco_cdo/aid/1607675/jewish/Adult-Sign-Up.htm" />
<link rel="icon" type="image/jpg" href="https://www.phillyfriendship.com/media/images/1075/uVFj10753022.jpg" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?g=10&v=98662BF4" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?g=10&v=44B79007" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?g=10&v=E669C926" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?g=10&v=151BA9A2" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?g=10&v=2B7F734E" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/FriendshipCircle2/bjqs.css?g=10&v=7E285A13" id="kbjqs" type="text/css"/>
<link rel="Stylesheet" href="/css/fonts/ubuntu.css?g=10&v=BC86DD08" id="kfonts" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/FriendshipCircle2/reset.css?g=10&v=C267B5A9" id="kreset" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/FriendshipCircle2/FriendshipCircle2.css?g=10&v=929D9679" id="k" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?g=10&v=F7C22456" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?g=10&v=B92FCAD8" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?g=10&v=5F31D0D8" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?g=10&v=14B88022" id="kBookInfoCss" type="text/css"/>

<script>$q=[];$j=function(f){$q.push(f);}</script>
	
<title>
	Adult Sign Up - Philly Friendship Circle
</title>
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2011-09-01","primaryArticleId":1607675,"title":"","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"hidden","contentLevel3":"Adult Sign Up","siteName":"Philly Friendship Circle"},"time":{"upcomingHoliday":"Shavuot","daysToUpcomingHoliday":9,"hebrewDate":"5786-02-26"}});
		dataLayer.push({ 'articleHierarchy': '-781942-781944-1541410-1607675-', 'keywords': '-k2898-k2170-k1674-k2471-k1709-k1675-k6760-k2185-', 'k': '-781942-781944-1541410-1607675--k2898-k2170-k1674-k2471-k1709-k1675-k6760-k2185-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 4281040;var sc_partition = 54;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "f75171e2";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c55.statcounter.com/counter.php?sc_project=4281040&amp;java=0&amp;security=f75171e2&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->




<style> 

/*they wanted to keep the local nav on the left*/
.co_body #co_body_container {float:right}
.co_body .co_local_menu {float:left}
/*end*/
#bot1 .readMore{left: 134px;bottom: -59px;}

#CalendarViewContainer .page_tools.top .wrapper:before {
  content: "Click iCal icon below to sync your Calendar";
    height: 0;
color: #16AAA2;
display:block;
font-size:20px;
padding-bottom:15px;
text-align:center;
font-weight:bold;

}

input[type="checkbox"]:checked + label span ,   input[type="checkbox"] + label span {width:auto;background:none;}
</style>


<style>
#BodyContainer #co_content_container, #co_ads_container {
	margin-top: 0;
}
.co_body .content .form-all {
	font-family: inherit;
}

.co_body .content .form-header-group {
	margin-left: 0;
	margin-bottom: 0;
}

.co_body .content .form-all li:first-child .form-header-group  {
	margin-top: 0;
	padding-top: 0;
}
.co_body .content .form-all .form-line {
	padding-top: 5px;
	padding-bottom: 5px;
	border: none;
}
#co_content_container.content .co_body {
	padding-top: 0;
}
.co_body .content H1.form-header,
.co_body .content .SCHeading_1 {
	color: #503291;
	font-size: 26px;
	font-weight: bold;
	margin-bottom: 0;
	margin-top: 20px;
	font-family: ubuntubold;
}
.co_body .content H1.form-header:first-child,
.co_body .content .SCHeading_1:first-child {
	margin-top: 0px;
}
.co_body .content H2.form-header,
.co_body .content .SCHeading_2 {
	color: #009891;
	font-size: 22px;
	font-family: ubuntubold;
	margin-bottom: 0;
	margin-top: 10px;
}
.co_body .content H2.form-header:first-child,
.co_body .content .SCHeading_2:first-child {
	margin-top: 0px;
}
.co_body .content H3.form-header,
.co_body .content .SCHeading_3 {
	color: #333;
	font-size: 18px;
	margin-bottom: 0;
	margin-top: 16px;
}
.co_body .content .SCHeading_2 + .SCHeading_3 {
	margin-top: 0px;
}

.co_body .content a {
	color: #009891;
}
.co_body .content ol,
.co_body .content ul {
	font-family: inherit;
	font-size: inherit;
}
.co_body .content ol li,
.co_body .content ul li {
	font-family: inherit;
	font-size: inherit;
}

P.special-button {
   font-size: 22px;
}

.co_body .content .ct-button {
	background: #FF9C00;
	display: inline-block;
	padding: 12px 25px;
	margin: 0;
	color: #fff;
	text-decoration: none;
	font-size: 16px;
	font-family: ubuntubold;
	border-radius: 50px;
	position: relative;
}
.co_body .content .ct-button:focus,
.co_body .content .ct-button:hover {
	background: #e68c00;
}
.co_body .content .ct-button:active {
	top: 1px;
}
.co_local_menu .secondary_navigation {
	padding: 0;
}
.article-header {
    padding-top: 15px;
}
.article-content-inner h3,
.article-header__title,
.content_title_container .content_title,
.content_title_container h1 {
    font-size: 24px;
}
@media (max-width: 1000px) {
	body {
		overflow-x: hidden;
	}
	.main {
		max-width: 100vw;
	    background-color: #11BBD2 !important;
	}
	#BodyContainer,
	.main {
		max-width: 100%;
	}
	#BodyContainer .g960,
	.main .g960 {
        max-width: 100%;
        margin: 0;
	}
	#header {
		text-align: center;
		background-color: #11BBD2 !important;
	}
	#header #logo {
		text-align: center;
		float: none;
		display: inline-block;
		max-width: 100%;
		background-color: #11BBD2 !important;
	}
	#header ul.socials {
		float: none;
		height: auto;
		overflow: hidden;
		margin: 0;
		padding: 0;
	}
	#header #top-head {
		width: 100%;
		text-align: center;
		height: auto;
		margin: 0;
		background-color: #11BBD2 !important;
	}
	#header #navigation {
		margin: 0;
		display: block;
		width: 100%;
		float: none;
		text-align: center;
		padding-top: 25px;
		padding-bottom: 5px;
		margin-top: 40px;
		background-color: #11BBD2 !important;
	}

	#header #navigation ul {
		float: none;
		margin: 0;
		padding-top: 0;
	}
	#header #navigation ul li {
		display: inline-block;
		float: none;
        vertical-align: top;
        padding-bottom: 11px;
	}
	#bot1 .main .left_margin {
		margin-left: 0;
	}
	#bot1 .main .g960 {
		text-align: center;
	}
	#bot1 .main .g960 .g320 {
		margin: 0 10px;
		display: inline-block;
		float: none;
		padding: 20px 0;
		margin-bottom: 30px;
		vertical-align: top;
	}
	#bot2 .g320 {
		margin-bottom: 30px;
	}
	#top1 {
		padding-top: 0;
	}
	#top1 .main .left_margin {
		margin-left: 0;
	}
	#top1 .top1-block {
		text-align: center;
		padding-left: 20px;
		padding-right: 20px;
	}
	#top1 .block-about-us .block-title {
		padding-top: 60px;
		margin-top: 30px;
		height: auto;
		background-position: top center;
		padding-left: 0;
	}
	#top1 .block-email {
		display: inline-block;
		margin: 30px auto;
		float: none;
	}
	#top2 .main .g960 {
		text-align: center;
	}
	#top2 .main .g960 .g320 {
		margin: 0 10px;
		display: inline-block;
		float: none;
		padding: 20px 0;
		vertical-align: top;
	}
	.block-families {
		text-align: center;
	}
	.g100,
	.g120,
	.g140,
	.g160,
	.g180,
	.g20,
	.g200,
	.g220,
	.g240 .g260,
	.g280,
	.g300,
	.g320,
	.g340,
	.g360,
	.g380,
	.g40,
	.g400,
	.g420,
	.g440,
	.g460,
	.g480,
	.g500,
	.g520,
	.g540,
	.g560,
	.g580,
	.g60,
	.g600,
	.g620,
	.g640,
	.g660,
	.g680,
	.g700,
	.g720,
	.g740,
	.g760,
	.g780,
	.g80,
	.g800.no_margin,
	.g820.no_margin,
	.g840,
	.g860,
	.g880,
	.g900,
	.g920,
	.g940,
	.g960 {
		max-width: 100%;
	}
	.article-header {
        padding-top: 20px;
        padding-left: 15px;
	}
	.article-content-inner h3,
	.article-header__title,
	.content_title_container .content_title,
	.content_title_container h1 {
		font-size: 22px;
	}
	#co_content_container #co_body_container {
		float: none;
		width: 100%;
		margin: 0 auto;
		display: block;
		padding: 0 15px;
	}
	#BodyContainer #co_content_container,
	#co_ads_container {
		width: 100%;
	}
	.co_body .co_local_menu {
		float: none;
		width: 100%;
		margin: 0 auto;
		display: block;
		padding: 15px;
	}
	#co_content_container.content .co_body {
		padding: 0;
		width: 100%;
	}
}
@media (max-width: 1000px) {
	.widget-1.promo_slider .slider {
		height: 0 !important;
		padding-top: 30%;
		position: relative;
	}
	.widget-1.promo_slider .slider .slides {
		position: absolute !important;
		width: 100% !important;
		height: 100% !important;
		left: 0 !important;
		top: 0 !important;
	}
	.widget-1.promo_slider .slider .slide_wrapper {
		height: auto !important;
	}
	.widget-1.promo_slider .slider .slide_wrapper a {
		height: 0 !important;
		padding-top: 30%;
		position: relative;
		display: block;
		width: 100%;
	}
	.widget-1.promo_slider .slider .slide_wrapper a img {
		position: absolute;
		left: 0;
		top: 0;
		width: 100%;
		height: 100%;
	}
}
#co_content_container.content .co_body img {
	max-width: 100%;
}
	
	
	#header {
    background: url(https://w2.chabad.org/images/templates/fc2/bg-header.png) top center no-repeat #11BBD2 !important;
    min-height: 102px;
}

#navigation .top_nav
	{
	background-color: #11BBD2 !important;	
	}
	
	#imageOne {
		 width: 100% !important;
         height: 100% !important;
	}
	
	.ct-home-details
	{
	width: 100% !important;
    height: 100% !important;
	}
	
	.twinkling
	{
	background-color: #11BBD2 !important;	
	}
/* MG 9/25/2022 https://www.chabadone.org/platform/custom/WebFeedback/detail.asp?incidentid=5738181&Id=1333864 */
#top1 .g620 {
    width: auto;
}
#top2, #top-head {
    display: none;
}
#bot2 .g320 {
    width: auto;
}
</style>

<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<meta name="robots" content="noindex"/>
<script language="javascript" type="text/javascript" src="https://w4.chabad.org/scripts/js/os/jquery-latest.min.js?v=20171023.1"></script><script language="JavaScript" type="text/javascript" src="https://old.clhosting.org/scripts/js/co_tools.js"></script></head>
<body class="lang_en dir_ltr cco_body form secure">
	
	


	<div id="header" class="clearfix">
		<div class="main">
			<h1 id="logo" class="g340"><a href="/"><img src="https://w2.chabad.org/media/images/1137/bjSe11373945.png"alt="Philly Friendship Circle" /></a></h1>
			<div id="top-head" class="g620"> 
				<ul class="socials">
					<li class="facebook"><a href="https://www.facebook.com/phillyfriendship " target="_blank"><img src="https://w2.chabad.org/images/templates/fc2/ico-facebook.png" alt="facebook"></a></li>
					<li class="twiter"><a href="/cco_twitter" target="_blank"><img src="https://w2.chabad.org/images/templates/fc2/ico-twitter.png" alt="twitter"></a></li>
					<li class="donate"><a href="/0"><img src="https://w2.chabad.org/images/templates/fc2/bg-donate.png" alt="Donate"></a></li>
				</ul>
			</div>
			<div id="navigation" class="g620">
				

<div class="top_nav"></div>
				
			</div>
		</div>
	</div>
	<div id="content">
		<div id="BodyContainer" class="wrapper">
			<div class="body_wrapper  clearfix">
				
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper g960" >
					

<header class="article-header cf ">
	
<script type="application/ld+json">
{
	"@context": "http://schema.org",
	"@type": "BreadcrumbList",
	"itemListElement": [
  {
    "@type": "ListItem",
    "position": 1,
    "item": {
      "@id": "/templates/articlecco_cdo/aid/1541410/jewish/hidden.htm",
      "name": "hidden"
    }
  },
  {
    "@type": "ListItem",
    "position": 2,
    "item": {
      "@id": "/article.asp?aid=1607675",
      "name": "Adult Sign Up"
    }
  }
]
}
</script>
<div class="breadcrumbs breadcrumbs hide_for_print" data-list-name="breadcrumbs">
	
			<a class="breadcrumbs__crumb" href='/templates/articlecco_cdo/aid/1541410/jewish/hidden.htm' data-aid="1541410">
				hidden
			</a>
		
</div>
	
			<h1 class="article-header__title js-article-title js-page-title">Adult Sign Up</h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="g780" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content g780 no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	


		<form 
			autocomplete="off" 
			action="/templates/articlecco.asp?aid=1607675" 
			method="post" id="form1" 
			
			onSubmit="return Co.Forms.Validation.Validate(this);">
			<input type="hidden" name="site" value="">
			<input type="hidden" name="sc" value="">
		
			<div >
				<co:body xmlns:co="www1.chabadonline.com/alpha1" xmlns:ext="urn:xslt-extensions">
  <div class="co_body article-body cf">
<div id="formBody">
      <p style="text-align: left;">
<span style="color: rgb(0, 128, 128);">
<strong><span style="font-family: Arial; font-size: 26px;">Adult Volunteer Sign-up Form</span></strong></span></p>
<p style="text-align: center;">
<span style="font-family: Arial;">Are you an adult who wants to find ways to get more involved with the Friendship Circle? We need your help! Whether it's setting/cleaning up, taking pictures, chairing a program, helping at the sign-in table, or becoming a Walk-a-Thon crew member, your contribution is greatly appreciated!</span></p>
<table width="520" cellspacing="0" cellpadding="2" border="0" align="center" style="width: 520px; border-collapse: collapse; font-family: Arial; height: 306px; font-size: 10pt" dir="ltr">
<tbody>
<tr>
<td width="50%" height="15" bgcolor="#993300" style="font-family: Arial; color: rgb(51,51,51); font-size: 10px" colspan="2">
<font size="2" color="#ffffff"><strong>Adult Volunteer Information</strong></font>
            </td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">First Name:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="First Name" required="true" dpieagent_iecontroltype="2" tabindex="1"></td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Last Name:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="Last Name" required="true" dpieagent_iecontroltype="2" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Birthday:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font size="1" face="Arial"><strong>
<input type="text" name="birthday" required="true" dpieagent_iecontroltype="2" tabindex="1"></strong></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Address:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="address" required="true" dpieagent_iecontroltype="2" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">City/State/Zip:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="city" style="width: 141px; height: 22px" required="true" dpieagent_iecontroltype="2" size="17" tabindex="1"><input type="text" name="state" style="width: 41px; height: 22px" required="true" dpieagent_iecontroltype="2" size="1" tabindex="1"><input type="text" name="zip code" style="width: 49px; height: 22px" required="true" dpieagent_iecontroltype="2" size="6" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Phone Number:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="phone number" required="true" dpieagent_iecontroltype="2" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Cell Phone:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="cell phone number" required="false" dpieagent_iecontroltype="2" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="right" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial">Email Address:</font>
              </p>
</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<p align="left" style="line-height: 15px; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<font face="Arial"><input type="text" name="email address" required="true" dpieagent_iecontroltype="2" tabindex="1"></font>
              </p>
</td>
</tr>
<tr>
<td width="50%" height="15" style="text-align: right; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">Emergency Contact Name:</td>
<td width="50%" height="15" style="text-align: left; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="Emergency contact name:" required="false" tabindex="1"></td>
</tr>
<tr>
<td width="50%" height="15" style="text-align: right; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">Relationship:</td>
<td width="50%" height="15" style="text-align: left; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="Relationship:" required="false" tabindex="1"></td>
</tr>
<tr>
<td width="50%" height="15" style="text-align: right; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">Emergency Contact Phone:</td>
<td width="50%" height="15" style="text-align: left; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="Emergency Phone:" required="false" tabindex="1"></td>
</tr>
<tr>
<td width="50%" height="15" style="text-align: right; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">Emergency Contact Email</td>
<td width="50%" height="15" style="text-align: left; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px"><br type="_moz">
<input type="text" name="emergency contact email" tabindex="1" required="false"></td>
</tr>
<tr>
<td width="50%" height="15" style="text-align: right; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">Synagogue/Community Affiliation (If Applicable):</td>
<td width="50%" height="15" style="text-align: left; font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="synagogue/community" required="false" tabindex="1"></td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51, 51, 51); font-size: 12px; text-align: right;">School/College and Class of (If Applicable):</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="school/college and class of if applicable" tabindex="1" required="false"></td>
</tr>
<tr>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51, 51, 51); font-size: 12px; text-align: right;">Photo Consent?</td>
<td width="50%" height="15" style="font-family: Arial, Helvetica, sans-serif; color: rgb(51,51,51); font-size: 12px">
<input type="text" name="Photo Consent?" tabindex="1" required="true"></td>
</tr>
</tbody>
</table>
<table width="456" height="38" cellspacing="0" cellpadding="2" border="0" align="center" style="border-collapse: collapse; font-family: Arial; font-size: 10pt;" dir="ltr">
<tbody>
<tr>
<td width="445" height="15" bgcolor="#993300" style="font-family: Arial; color: rgb(51,51,51); font-size: 10px" colspan="2">
<p>
<font size="2" color="#ffffff"><strong>Which programs are you interested in volunteering for?</strong></font>
              </p>
</td>
</tr>
</tbody>
</table>
<table width="465" height="400" cellspacing="0" cellpadding="2" border="0" align="center" style="border-collapse: collapse; font-family: Arial;" dir="ltr">
<tbody>
<tr>
<td width="302" height="15" style="font-family: Arial; color: rgb(51,51,51)">
<p><input type="checkbox" name="Walk-a-Thon" tabindex="1"> Walk-a-Thon <input type="checkbox" name="Sunday Circle" tabindex="1">Sunday Circle  <input type="checkbox" name="Trips and other events" tabindex="1">Trips and Other Events</p>
<p><input type="checkbox" name="Volunteer Events" tabindex="1">Volunteer Events <input type="checkbox" name="Sensitivity Workshops" tabindex="1">Sensitivity Workshops</p>
<p>
<span style="font-size: 12px"><strong>
<span style="color: #993300">I would like to help with: <br>
</span></strong></span></p>
<p>
<span style="font-size: 14px;"><input type="radio" value="on" name="set up" tabindex="1">setting up<input type="radio" value="on" name="clean up" tabindex="1">cleaning up<input type="radio" value="on" name="taking pictures" tabindex="1">taking pictures <br>
<input type="radio" value="yes" name="sign in table" tabindex="1">sign-in table </span><span style="font-size: 14px;"><input type="radio" value="yes" name="chair a program" tabindex="1">chair a program</span></p>
<p><span style="font-size: 14px;"><input type="radio" value="on" name="other" tabindex="1">other— Please specify</span>:<textarea name="other" style="width: 133px; height: 34px; margin: 0px;" required="false" cols="15" tabindex="1"></textarea></p>
<p><label for="Field216" class="desc" id="title216">If you have any profession, hobbies or talents that you think could be useful please share them here:</label>                                           <input type="text" name="Field216" style="width: 198px; height: 18px" dpieagent_iecontroltype="2" size="28" maxlength="255" tabindex="31" class="field text large" id="Field216"></p>
<p>Additional comments and questions  <textarea name="Field111" style="width: 182px; height: 69px; margin-left: 0px; margin-right: 0px;" spellcheck="true" rows="4" tabindex="41" class="field textarea small" id="Field111"></textarea></p>
<p>
<strong><span style="color: #993300; font-size: 12px">How did you hear about The Friendship Circle?</span></strong></p>
<p><input type="radio" value="on" name="magnet" tabindex="1">magnet  <input type="radio" tabindex="1" value="" name="friend/family">friends &amp; family <input type="radio" value="on" name="google/search" tabindex="1">Google/search engine <input type="radio" value="on" name="facebook" tabindex="1">Facebook or Twitter <input type="radio" value="on" name="doctor" tabindex="1">doctor or therapist      <input type="radio" value="on" name="syn" tabindex="1">synagogue or school<input type="radio" name="FC Alumni" value="" tabindex="1">FC Alumni <input type="radio" value="on" name="other" tabindex="1">other <input type="text" name="other" required="false" dpieagent_iecontroltype="2" tabindex="1"></p>
<p>The Friendship Circle is now required to run a background check on all volunteers age 18 years and older. This is a new procedure for us and a departure from our casual, inclusive style, but we recognize it as a reality of doing business. A simple online screening will ensure the safety of all participants in our programs. Rest assured that your privacy will be protected and all personal information will be kept strictly confidential.</p>
<p>Please sign below indicating your permission for The Friendship Circle to proceed. Thank you for your cooperation.</p>
<p>
<strong>Name: </strong><input type="text" required="false" tabindex="1" name="Background check:"></p>
<p><strong>Date:</strong>                                           <input type="text" required="false" tabindex="1" name="Consent date"></p>
<p>Thank you very much for your interest in helping our organization. We will be in touch with you soon.</p>
</td>
</tr>
</tbody>
</table>
    </div>
</div>
</co:body>
			</div>
			

			<div class="break_floats"></div>
			
					<div class="clearfix">
                    	


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="cc3ef63e-74ef-427f-baaf-74b2520bf0f4" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="cc3ef63e-74ef-427f-baaf-74b2520bf0f4"></div>	

                    </div>
				
					<!------Begin Close Form------->
					<div class="ccoFormFooter">
						
							<div class="small bold center bottom_padding">
								<div class="grey f-small"></div></div>
						
						<div align="center"><input type="submit" value="Submit" name="SubmitCCO" tabindex="1000"/>
							<input type="reset" value="Reset" tabindex="1001" id="reset1" name="reset1"/></div>
						
							<p align="center" style="font-size: 8pt; color: #666666; font-family: Verdana, Helvetica; margin-bottom: 3px; margin-top: 6px;">
								<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"/>
								This page uses 128 bit SSL encryption to keep your data secure.
							</p>
						
					</div>
				
				<input type="hidden" name="FormCCOSubmited" value="true"/>
			</form>
			<!------End Close Form------->
			
	<div class="break_floats"></div>
	

<div class="content-footer">
	<!-- END CACHE -->
	
	
	
	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
				

<meta class="js-desktop-local-nav" data-base-class="co_local_menu" />

	<div class="co_local_menu g180 local_content js-local-nav" data-list-name="local navigation">
		
			
				<div class="header ">			
					
						<div class="section_title">
						<div><a data-menu-level="0" data-aid="1541410" href="/templates/articlecco_cdo/aid/1541410/jewish/hidden.htm">hidden</a></div>
						</div>
					
				</div>
				<div class="clearfix body medium_bottom_margin">
					
							
								<div class="item first last" data-menu-level="1">
									<a data-aid="4538650" href="/templates/articlecco_cdo/aid/4538650/jewish/Miami-Marathon-2020.htm"><span>Miami Marathon 2020</span></a>
								</div>
							
							
						<div class="separator"></div>
				</div>
			
			
			
	<div id="LocalNavigationQuickLinks" class="clearfix secondary_navigation local-navigation-quick-links container padding">
		<div class="header small_bottom_padding">
			<div>Quick Links</div>
		</div>

		
				<div class="item ">
					<a href="/3186593"><span><span>Calendar</span></span></a>
				</div>
			
				<div class="item ">
					<a href="/article.asp?aid=830956"><span><span>Contact</span></span></a>
				</div>
			
	</div>

		
	</div>

			</div>
			
			
		</div>
		
		
	</div>

				<div class="break_floats"></div>
			</div>
		</div>
		<div id="bot2" class="clearfix">
			<div class="main">	
				<div class="block-aboutsite g320">
					<div class="block-title">Philly Friendship Circle</div>
					<div class="block-content">
						The Friendship Circle Philadelphia Region South - A registered 501c3 organization serving Philadelphia, Montgomery, Chester and Delaware Counties.     754 South 9th Street Philadelphia, PA 19147  Founded by Chabad- Lubavich			
					</div>
				</div>
					
				<div class="block-aboutus g320" style="display:none">
					<div class="block-title">About Us</div>
					<div class="block-content">
						<ul> 
							<li><a href="#">Weinberg Village</a></li>
							<li><a href="#">FC International</a></li>
							<li><a href="#">Our Staff</a></li>
							<li><a href="#">Contact Us</a></li>
							<li><a href="#">News</a></li>
							<li><a href="#">Calendar</a></li>
						</ul>
					</div>
				</div>	
				<div class="block-get-involved g320" style="display:none">
					<div class="block-title">Get Involved</div>
					<div class="block-content">
						<ul> 
							<li><a href="#">Families</a></li>
							<li><a href="#">Volunteers</a></li>
							<li><a href="#">Schools</a></li>
							<li><a href="#">Donate</a></li>
							<li><a href="#">Corporate Friend</a></li>
						</ul>
					</div>
				</div>
			</div>
		</div>
	</div>

	

	<div id="footer" class="clearfix">
		<div class="main">
			<div class="g960">
			Copyright © 2026 Friendship Circle
			


	<div class="footer3"><b>The Friendship Circle Philadelphia Region South - A registered 501c3 organization serving Philadelphia, Montgomery, Chester and Delaware Counties.     754 South 9th Street Philadelphia, PA 19147  Founded by Chabad- Lubavich</b></div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />




Powered by <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> &copy; 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">Privacy Policy</a>




			</div>
		</div>
	</div>

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?g=10&v=0293E3EC"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery-noconflict.js?g=10&v=32FA5B68"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?g=10&v=F809B22F"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?g=10&v=1A38CE64"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?g=10&v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?g=10&v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?g=10&v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?g=10&v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E&g=10"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?g=10&v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Philly Friendship Circle'}; Co.ArticleId     = '1607675';Co.SectionId     = 1541410;Co.PartnerSiteId = 0;Co.SiteId        = 7237;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'PhillyFriendship.com';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script>
</body>
</html>