Child Enrollment Form

child enrollment form

Are you and your child interested in enrolling with Big Brothers Big Sisters? You’re in the right place. Fill out the simple form below and you’ll get a call from Big Brothers Big Sisters enrollment team.

Youth Information

First Name

Last Name

Application Name

Concatenated from First + Last

Birthdate

Enter date in this format: mm/dd/yyyy

Gender

How does the youth identify?

School

Current Grade

Start typing school name to search, or choose from the drop down menu. If your school isn't listed, please type in "Other".

If your school isn't listed, please share the name here:

Is this child enrolled in a Redbird Rookies League this year?

What Redbird Rookies League are they enrolled in?

School Account ID

Graduation Year

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Birthdate

Enter date in this format: mm/dd/yyyy

Gender

How do you identify?

Mobile Phone

Personal Email

The parent/guardian is this child's:

Family Information

Which community are you enrolling your youth in?

Street Address

City

State

Zip Code

Contact Information