Youth Inquiry Form

Parent/Guardian Contact Information



Correo electrónico  (If you do not have an email address, please put

Número del celular 

Código postal


Youth's Information

Fecha de nacimiento 


¿Cómo se identifica usted de género?

Minimum Eligibility Requirements
  • Enrolled between the ages of 6 – 16 (17 for female-identifying youth). 
  • Live in Thurston, Lewis, Mason, Grays Harbor, or Pacific Counties. 
  •  Be willing to make a minimum one-year commitment. 
  • Parent/guardian must be willing to maintain monthly contact with BBBS staff for the duration of the match. 
  •  Youth must personally want a mentor involved in their life. 
  • Youth must live with parent/guardian or in a long-term foster care placement without plans of moving for the first 12 months of the match.

Our Programs

Community-based Program

  • Littles meet up with their Big 2-4 times per month when they both have the time. 
  • Parent/guardians arrange and approve all outings. 
  • The match can explore common interests out in the community such as attending a sporting event, going for a hike, or cooking together! It's up to you as a guardian, the Big, and the Little. Matches are also invited to match activities including sporting events, attractions, and gaming entertainment.

Site-based Program

  • Littles meet their Big at one of our partner sites for one hour per week (or at least 2 times per month) during their lunch break or after school. 
  • Littles will meet with the same Big each week and can spend time eating lunch, participating in structured activities, playing games, working on homework, or hanging out on the playground. 
  • This program is available only at select sites.  

I understand that submitting this form indicates that I am interested in more information about enrolling my youth in the BBBS program. I consent to BBBS staff reaching out to me via the contact information I have provided.