BBBS LOGOHigh School Bigs: Volunteer Enrollment Form

Mentor Program

Our "High School Bigs" program is one-to-one mentoring supervised and held on site at school

Volunteer Information




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By providing a mobile number, you give Big Brothers Big Sisters permission to contact you using automated text messages for reminders, updates, and events.


Different than your school email










Please type your school here if it's not listed above


This is the year the child will graduate from high school.







Parent/Guardian Information






Emergency Contact





References
Reference #1: Parent




Reference #2: Teacher, Coach or Other Adult Not Related to You

Please include a non-relative who knows you well



Volunteer Health Information


(ex. peanuts, bees, penicillin)

Please explain any other health conditions


(ex. EpiPen, Inhaler)
Volunteer Consent
Program Description: One-on-one mentoring supervised and held on site at school. This fall (2020), all sessions will be virtual.
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Parent Consent

Parent/Guardian Signature  
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Participant Signature 
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Media Consent and Agreement

Please initial one of the two boxes below and sign and complete all information at bottom of form.

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Parent/Guardian Signature
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Minor Volunteer Signature
 
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Communication Consent & Agreement

Given the current school closures and ongoing uncertainty surrounding the COVID-19 pandemic, we understand that this can be a difficult time for your families to try and navigate. While the High School Bigs Program rules and guidelines typically do not allow Bigs and Littles to exchange contact information (such as phone numbers or email addresses), we are able to make specific exceptions and would live to provide our participants with options for ways to stay connected.


Please initial one of the two boxes below and sign and complete all information at bottom of form.

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Parent/Guardian Signature 
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Minor Volunteer Signature

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RELEASE AND WAIVER OF LIABILITY

I understand that certain risks and dangers may exist in My Child’s attendance and participation in the Program, and such attendance and participation is conditioned upon my agreement to release BBBSOC/IE from any claims of liability, including, but not limited to, any claims for property loss or personal injury to My Child. Therefore, in exchange for the opportunity of My Child to attend and participate in the Program, I hereby expressly waive and release any and all claims which I may have, or which I may hereafter have, whether known or unknown, against BBBSOC/IE, and its officers, directors, staff, employees, agents, affiliates, successors, and assigns (collectively, “Releasees”), on account of injury, death, property damage, or economic loss arising out of or attributable to My Child’s participation in the Program, including, without limitation, TO travel to or from their school/site or field trip/program destinations, whether arising out of the ordinary negligence of BBBSOC/IE or any Releasees or otherwise. I covenant not to make or bring any such claim against BBBSOC/IE or any other Releasee, and forever release and discharge BBBSOC/IE and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be released by agreement.

I understand that by signing this agreement, I am waiving for My Child any and all claims, of any kind arising out of or attributable to My Child’s participation in the Program, including those claims that may be unknown to me, or which I do not suspect to exist at this time. 

WITH THE INTENTION OF WAIVING ALL UNKNOWN AND UNSUSPECTED CLAIMS, I HEREBY EXPRESSLY WAIVE ALL RIGHTS, BENEFITS, AND PROTECTIONS I MAY HAVE UNDER CALIFORNIA CIVIL CODE SECTION 1542, WHICH READS AS FOLLOWS:

Parent/Guardian Signature 
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Minor Volunteer Signature  
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