• In-School Mentoring Program

    This form is to be completed by the parent/guardian of a child participating in the In-School Mentoring Program at one of our partner schools.
  • More About the Child

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  • Please provide the name of your child's school.

    This form must be signed by the child's parent or legal guardian.
  • I, the parent/guardian of the child named above, am requesting service from Big Brothers Big Sisters for my child. I give the agency consent to assign a Mentor to my child. I am aware of and understand the risks, dangers, and hazards associated with the above service and agree such service is suitable for my child.
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  • Although parents/guardians do not have to be involved in any particular way, the following options are available:
  • Parent/Guardian Photo/Media Consent

    From time to time, the following sorts of materials may be created in connection to school-based mentoring programs:
  • I, the parent/guardian of the child named above, completed this Parent/Guardian Photo/Media Consent form and I acknowledge that it is the parent/guardian’s responsibility to notify Big Brothers Big Sisters of Victoria if the status of this consent changes
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