Annual Update

Annual Update Form

Help us keep our files up to date. Please fill out the form below with your updated information.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Emergency Contact Name*
Emergency Contact Relationship*
Emergency Contact Phone*
If you are currently attending college, which school do you attend?
Current employer*
Work title
Are there any firearms stored in your house?*
- Yes
- No
How are they stored?*
Does your vehicle currently have minimum liability insurance covering bodily injury and property damage according to your state's financial liability law?*
- Yes
- No
Name of auto insurance company*
Insurance expiration date*
Month
Day
Year
In the last year have you had any moving violations?*
- Yes
- No
Please explain*
In the last year have you been arrested or charged with a crime?*
- Yes
- No
Please explain*
Please share any information related to health or life changes that have occurred in the last 12 months (hospitalizations, health diagnosis, divorce, pregnancy, moving, change in medications, etc.)
Please include any new information that would be helpful for us to know.
Our Policy Reminders:
For overnights and out-of-town visits (more than 30 miles outside of our service area) to be an option the Relationship Specialist must be notified. Littles must have a private place to change clothes. Under no circumstances should a Little share a bed or sleeping bag with anyone, including other children.

Bigs must inform Big Brothers Big Sisters if firearms or weapons are present in their home, regardless of ownership. At that time, they will review and sign the firearm form.

Smoking, the consumption of alcohol and the usage of illegal drugs are not allowed before or during outings.

The Big is the only individual permitted to drive the Little.

Bigs are required to keep in contact with their Relationship Specialist once a month for the first year and every 3 months thereafter.

You should never leave your Little alone or in the care of an unscreened person.

Certain types of physical touch are not permitted, such as back rubs, sitting on laps, wrestling, piggy-back rides, tickling or other contact that feels uncomfortable.
Policy Agreement*
- I have reviewed the Policy Reminders and agree with all.

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