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General Intake Form

  • Thank you for participating with the Friendship Circle of Houston. This intake form helps us provide a safe, inclusive, and supportive environment for every participant. 

    All information provided is confidential and used solely to ensure appropriate care, safety, and program accommodations. 


  • Participation in Friendship Circle programs involves activities that may include recreation, social programming, and community engagement. 

    While Friendship Circle of Houston takes all reasonable precautions to ensure a safe environment, participation involves inherent risks. 

    By agreeing below, I release and hold harmless Friendship Circle of Houston, its staff, volunteers, partners, and affiliates from liability for injuries or damages arising from participation. 

  • Parent/Guardian Information if under 18 years of age

  • Should be Empty:
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