Circle of Friends - Membership Information

To join, please fill out the form below.

Parent/Guardian names:
Address:
City:
Zip Code:
Home phone:
Cell phone:
Email:
Name of child with disability:		Birth year:
Disability:

Siblings:
Name:		Birth year:
Name:		Birth year:
Name:		Birth year:
Name:		Birth year:

Do you give OCCF permission to use your child's or family's photos taken at our events for:
Newspaper:	Yes No
United Way:	Yes No
OCCF Website:	Yes No (no names would be used on the website)
Outreach events:	Yes No

I am interested in helping with:
I would like to receive flyers by email mail both

If you experience any problems with this form, you can also print it here and mail to:

Ozaukee County Circle of Friends, Inc.
PO Box 701
Cedarburg, WI 53012

MAJOR DONORS

United Way of Northern Ozaukee

United Way of Greater Milwaukee –
Donor Choice

Mel’s Pig Roast

CONTACT US

Circle of Friends
Phone: 262-375-2606

Mailing address:
PO Box 701
Cedarburg, WI 53012
Email: [email protected]