Participant Registration Form Parent/Guardian Information Name * First Name Last Name Phone (###) ### #### Email * Participant / Applicant Information Name * First Name Last Name Gender Male Female Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birth Date * MM DD YYYY Religious Affiliation What are your unique needs? * Are there any medications or medical information we need to know that would impact your work? * What are your strengths? * What are your challenges? How might your challenges affect your work? What are your interests? What are things that you do not enjoy doing? I allow my photograph to be taken and used for promotional purposes * Yes No Waiver for Friendship Bakery * I understand that the program is a life skills employability training program and not emplyoment. In the event that you are unable to come, you will need to notify the Friendship Circle at least 1 day in advance and will try to find a substitute. Electronic Signature * By signing your name you have agreed to the above information. First Name Last Name Date * MM DD YYYY Question/Comments After filling out this form please sign up for date/slots in program registration. Thank you for registering!Some of the Objectives and Goals, as well as expected responsibilities, for Friendship Bakers :-On time arrival and sign in -Preparation check list -Packing and boxing -Order fulfillment -Kitchen CleanupBakers will personally make, and take home a product from the bakery. (based on what is made on that day)Please note: To best benefit the participants, this is a drop and go program. If you would like to have a late drop off or an early pick up, please let us know in advance.
