REGISTRATION AND INFORMED CONSENT

Fill out the form below to register for the Spring 2022 session of Go Girls! Spring 2022 sessions will begin the week of May 9th.

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

Go Girls 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 GO GIRLS

    Go Girls Online is a FREE 7-week online program designed for female identifying youth between the ages of 11-15. The group meets weekly for 1 hour and 15 minutes via Zoom Online Platform. Go Girls! Healthy Bodies, Healthy Minds follows the same basic structure as the online program, only it takes place in-person, on school property, during the school day. Groups will be a maximum of 12 girls to 3 fully screened (Criminal Record Check included) and trained Go Girls 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 and Area; 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. You do not need to complete this section if you are uncomfortable providing answers. Your answers will not affect your child's application to the program.
  • 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 student participating in Go Girls Online.
  • This is the email the child/youth will use to join the online Go Girls group via Zoom.
  • Scheduling Information

  • All Go Girls 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): May 9th-May 12th
  • Please list the youth's first and last name. Please also include their guardian's email address or phone number, if possible, and our team will forward on the registration link for you.
  • 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.logue@bigbrothersbigsisters.ca if you have any questions about this program or the application process.

Thank you!