Big Brothers Big Sisters of Siouxland

Online Child Enrollment Form

Please provide the following information about the child:

First Name

Last name

Birthdate

Gender

Street Address

City

State

Zip Code

School

Grade

Parent/Guardian

Home Phone

Work Phone

Children who have mentors with Big Brothers Big Sisters are:

LESS likely to start using drugs
LESS likely to start using alcohol LESS likely to skip a day of school
LESS likely to skip class
LESS likely to hit someone
LESS likely to lie to their parents or guardians
MORE confident of thier schoolwork performance
MORE trustin gof their parents or guardians
MORE likely to feel better about themselves