REGISTRATION AND INFORMED CONSENT

B You: Healthy Bodies, Healthy Minds 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: Healthy Bodies, Healthy Minds

    B You: Healthy Bodies, Healthy Minds (formerly Go Girls) is a FREE 10-week program designed for gender-diverse and female-identifying and youth between the ages of 11-15. The groups meet weekly for approximately one hour and fifteen minutes during school hours on school property. Groups will be approximately 12 mentees to three fully screened (Criminal Record Check included) and trained facilitators. The objective of the program is to promote healthy living in youth through introducing a variety of sport and exercise methods, increasing knowledge of balanced nutrition, and encouraging self-compassion and social development. Each session is tailored to the needs and desires of participants in each group at the time of program delivery. Physical activities in B You include, but are not limited to, yoga, dance, walking, skipping, low-impact aerobics, and various games. These physical components are followed by a group discussion and a nutritional component in which participants learn about the importance of hydration while trying new foods that fuel their bodies. B You: Healthy Bodies, Healthy Minds aims to expand participant knowledge in active living, balanced eating, and self-compassion, while fostering strong mentoring relationships between participants and facilitators.
  • 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.
  • 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

  • Based on CRD map.
  • 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 student participating in B You if needed.
  • 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 registration process.

Thank you!