Little Application

BBSVC's High School Mentor Program
Big Brothers Big Sisters of Ventura County - Celebrating 50 Years!
Parent Permission for Littles

Dear Parent or Guardian,

 

Your child is eligible to participate in the Big Brothers Big Sisters of Ventura County (BBSVC)'s FREE High School Mentor program. This program provides a carefully screened and trained high school student volunteer who will mentor and work with your child. The  high schoo-aged volunteer mentor and your child will spend one hour a week participating on enrichment activities through a supervised virtual platform. 


BBSVC will also allow your child to participate in supervised in-person activities once we are permitted to host them by the school district and county officials.


Please complete this form and return to site coordinator so that your child is eligible to participate in the program.

Hidden Fields
To look up the owner's email for notifications
For notifications
Youth Information
Enter a date in the following format: mm/dd/yyyy
This is the year the youth will graduate.
Press CTRL while choosing to select multiple
Guardian Information
Type NA if unemployed
Family Information
Residential Address
Household Members
Please choose this child's relationship to the following people:


Emergency Contact

Tell us about your student...

Photo and Video Release

I consent for all purpose to the reproduction and/or use of photographs of my child (with or without the use of his/her name) by Big Brothers Big Sisters of Ventura County and by any nominee or designee of Big Brothers Big Sisters (including any agency, client, periodical or other publication) in all forms and media and in all manners, including social media, advertising, trade, display, editorial, art, and exhibition.

 

In giving this consent, I release Big Brothers Big Sisters, their nominees and designees from liability for any violation of any personal or proprietary right I may have in connection with such reproduction, or use.

 

I am the parent/guardian of the minor named above and have the legal authority to execute the above consent and release.  I approve the forgoing and waive any rights in the premises.