Parent - Child Enrollment Application

Required fields*

Authorization For Release of Confidential Information

This release of information form will be used to check with the school about your child's performance and behavior. Kindly sign by the X and return with the application. If this form is not returned signed, we cannot proceed with your application for the Big Brother or Big Sister.

We need information about your child so that we can determine, with your help, how Big Brothers Big Sisters of Monmouth & Middlesex Counties can best help him/her. Any information provided by you or other agencies will be kept completely confidential. If you have any questions, please contact our office.

Release of Information

This release of information form will be used to check with the school about your child's performance and behavior. Kindly sign by the X and return with the application. If this form is not returned signed, we cannot proceed with your application for the Big Brother or Big Sister.

We need information about your child so that we can determine, with your help, how Big Brothers Big Sisters of Monmouth & Middlesex Counties can best help him/her. Any information provided by you or other agencies will be kept completely confidential. If you have any questions, please contact our office.

Check If You Agree

Parent/Guardian Statement of Understanding

  • If accepted, I will abide by the ground rules and policies of BBBSMMC including no overnight visits between Bigs and Littles.
  • The information on this application is true to the best of my knowledge. Also, I have not withheld any information regarding my child's health, personality, or behavior which, if later revealed, is likely to have a significant adverse effect on the mentoring relationship.
  • BBBSMMC does not discriminate nor exclude children or volunteers on the basis of race, religion, natural origin, gender, sexual orientation, veteran status, disability or marital status.
  • Acceptance into the program will be determined by the BBBSMMC staff based on program/agency criteria and information obtained from the application, interview, and any other relevant sources.
  • If accepted, there is no guarantee that a Big Brother or Big Sister for my child will be identified.
  • If a potential Big Brother/Big Sister does become available, I will be given general information about him/her before any match is made. This information will be gathered from the volunteer interview. Only the information determined to be pertinent by the case manager will be shared.
  • I am in no way obligated to accept any proposed Big Brother or Big Sister for my child. Only a Big Brother or Big Sister that I have approved will be matched with my child.
  • Pertinent information from my child's file will be shared with the potential volunteer. This information will be shared on a first name basis only until a match has been agreed upon.
  • Every reasonable precaution will be taken to ensure the safety of my child while he or she is participating in the BBBSMMC program. I relinquish all claims for injuries of any nature while my child is engaged in a BBBSMMC activity.
Check If You Agree

More About Enrolling your Child...

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