CIRCLES After School • Journeymen

This form is intended for boys currently enrolled in a school-based CIRCLES group to sign up for our additional after school sessions. Like the regular meetings during the school day, these sessions typically involve talking circles, experiential learning games, and occasionally, films and meals.

All boys must have a parent or legal guardian complete this Enrollment Form and sign the Liability Waiver before attending. Both can be completed below, or you can email team@journeymen.us for a hard copy.
Basic Info
Boy's Name*
First Last
Date of Birth*
MM
DD
YYYY
Boy's Phone
School Name*
- CES
- McM
- VHS
- Other
Current Grade Level*
Transportation*
Will you be able to provide or coordinate a ride home for your boy after each session?

At this time we plan to host after-school sessions on Mondays from 3-4pm, with one session per month extending to 6pm (including dinner)
- Yes
- No
- Maybe
Journeymen may be able to provide rides on a limited basis to boys who would otherwise be unable to attend after school CIRCLES sessions. If possible, we ask that parents do what they can to provide rides. We will follow up with you and/or your boy to coordinate availability.

Parent / Guardian Info
This form is to be completed by a Boy's Parent / Guardian. Boys 18 or over may submit on their own behalf.
Parent / Guardian's Name*
First Last
Relationship to Boy*
- Mother / Step Mother
- Father / Step-Father
- Legal Guardian
Primary Parent / Guardian's Email*
Parent / Guardian's Mobile Phone*
Emergency Contact*
Person to be contacted in an emergency (not the primary parent guardian)
First Last
Emergency Contacts Mobile Number*
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C.I.R.C.L.E.S.