Application

Please create a login name and password to access the constituent portal so you can manage your account.

  • First submit this form with the primary parent information.
  • If you would like to add a child or additional parent/guardian please click "Add Another Household Member" to continue the application process.
  • You will then be asked to select if you are adding a child or additional parent/guardian.
  • Complete this form for each additional person.

Please contact office@fcmiami.org if you have any questions. 

 

Personal Information
 

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Contact Information

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Medical Information

NeonCRM by Neon One
Friendship Circle of Miami Beach and North Dade
4200 Biscayne Blvd.
Miami , FL 33137-2573
305-330-5653
About Us