REGISTRATION AND INFORMED CONSENT

Fill out the form below to register for the Fall 2022 session of B You Online. Fall 2022 sessions will begin in October.

PLEASE NOTE GROUP START DATES ARE DEPENDENT ON REGISTRATION AND WILL BE CONFIRMED VIA EMAIL 1 WEEK IN ADVANCE.

B You Online Program Registration and Consent

Big Brothers Big Sisters of Victoria respects your privacy and adheres to British Columbia personal information privacy legislation (PIPA). The information provided will be used to create a confidential client file.
  • ABOUT B You Online

    B You Online is a FREE 10-week online program designed for female identifying and gender-diverse youth between the ages of 11-15. The group meets weekly for 1 hour and 15 minutes via Zoom Online Platform. Groups will be a maximum of 12 mentees to 3 fully screened (Criminal Record Check included) and trained B You Facilitators. The focus of the program is to keep youth connected with each other and their community. They focus on building group connection by playing games, crafting, journaling and talking/discussions. This program is run by Big Brothers Big Sisters of Victoria Capital Region; an organization with 45 years experience of mentoring and creating a positive impact in the lives of children and youth.
  • Child/Youth Information

  • MM slash DD slash YYYY
  • These responses are voluntary. Information provided will be used for statistical purposes only.
  • Please list below.
  • We will try our best to match your child/youth with other participants in the same grade.
  • If possible, we will try to match your child/youth with other participants who attend the same school.
  • Family/Youth Background Information

    This section is used for statistical purposes only. Your answers will not not be shared, and they will not affect your child's application to the program.
  • Select all that apply.
  • Select all that apply.
  • Family Contact Information

  • Emergency contact name, relationship to child, and phone number.
  • Required for emergency contact purposes.
  • This email will be used to communicate with the Parent/Guardian of the youth participating in B You Online.
  • This is the email the child/youth will use to join the online B You group via Zoom.
  • Scheduling Information

  • All B You Online sessions will take place virtually over Zoom video conferencing. In order to participate, your child will need private access to the Zoom app for each session, and a microphone/camera to participate with.
  • PLEASE SELECT MULTIPLE OPTIONS IF POSSIBLE | Intended start dates (subject to change): Early October
  • The online program includes a free supply kit for each child/youth participating in the 10 week program. There are two options; Pick up the kit from BBBS Office (230 Bay St - Vic West Area) on a designated date/time (TBA). Alternatively, I can supply you with a list if you want to purchase your own program supplies. If you cannot do either these options, please select "Other" and I will be in contact with you shortly to coordinate another plan. If you live in COMOX VALLEY there is another option to pick up your supply kit. If you live on Saltspring Island there is an option for you as well. If you live further, we can also work that out!
  • About the Child/Youth

    Please note the following responses are voluntary and the information is used for statistical purposes only.
  • Please check all risks/needs that apply to this child/youth. Please note that the following responses are voluntary and the information is used for statistical purposes only.
  • Please check all risks/needs that apply to this child/youth. Please note that the following responses are voluntary and the information is used for statistical purposes only.
  • Please check all risks/needs that apply to this child/youth. Please note that the following responses are voluntary and the information is used for statistical purposes only.
  • Program Consent

Please email kait.burns@bigbrothersbigsisters.ca if you have any questions about this program or the application process.

Thank you!