CHILD INQUIRY FORM

Thank you for your interest in registering your child with Big Brothers Big Sisters of South-West Durham.

Please complete the inquiry form below and one of our Mentoring Coordinators will contact you about next steps.

  • Parent/Guardian Information

  • CHILD INFORMATION

  • (must be between 6 and 16 years)
  • Date Format: MM slash DD slash YYYY
    Select any programs in which you believe suits your child best. For more information on programs visit the "Our Programs" tab under MENTORING PROGRAMS.
    Select any programs in which you believe suits your child best. For more information on programs visit the "Our Programs" tab under MENTORING PROGRAMS.
  • This field is for validation purposes and should be left unchanged.