JBBBSLA Inquiry Contact Request

JBBBSLA Inquiry Contact Request - Parents/Guardians

The child(-ren) I wish to enroll identify as Jewish

YesNo

The child(-ren) I wish to enroll is/are between 6-17 years old

YesNo

Welcome!

Thank you for your interest in enrolling your child(-ren) with Jewish Big Brothers Big Sisters! We encourage you to register for one of our virtual, 30-minute Info Sessions (https://bbbs.tfaforms.net/5002516) which provides a robust overview of the program.

If you’re unable to attend, or have other questions, please complete the form below.

Youth Information

First Name

Last Name

Date of Birth

I would like to register another child:

YesNo

2nd Youth Name

First Name

Last Name

Date of Birth

Parent/Guardian (P/G) Information

P/G First Name

P/G Last Name

Date of Birth

P/G's Relationship to Youth

Phone

How did you hear about Jewish Big Brothers Big Sisters of LA?

Please list the specific NAME related to your answer above (e.g., name of individual or Big, synagogue, or website, etc.)

Concatenated Referral Detail Type & Source

We look forward to speaking with you!

Clicking SUBMIT on the following page indicates that you are interested in learning more about JBBBSLA's Youth Mentoring program via outreach from one of our enrollment staff. By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.

Non-Discrimination Policy

Our participants come to us with a wide range of personal characteristics. Participant eligibility shall be determined without regard to race, color, national origin, gender, sexual orientation, gender identity, or disability.

Alternative Mentoring Programs

Our one-to-one mentoring program requires that children be 6-17 years old, living in Los Angeles, and identify as Jewish. If you are interested in a non-denominational one-to-one mentoring program, please contact Big Brothers Big Sisters of Greater LA at (213) 481-3611 or bbbsla.org, or Catholic Big Brothers Big Sisters (which serves all faiths) at (213) 251-9800 or catholicbigbrothers.org.

We're sorry, but children are required to be 6-17 years old upon entering the program.

Contact Information