Big Brothers Big Sisters of Greater Miami :: Parents

Enroll a Child

Referring a child you know, or enrolling your own child into our program is safe and easy:

Determine if your child or a child you know is eligible
Simply fill out the online referral form below or contact us at 305-644-0066

All information you share with us is confidential. Once your request is received, a member of our staff will call you and help you find out if this is the right program for your child.

Also, while we will accept referrals from teachers, grandparents, guidance counselors, neighbors and other concerned individuals, enrollment in our program requires approval and participation by a child's parent or legal guardian.

Referral Form

About Yourself

First Name* Last Name* Title Organization Street Address* Address (cont.)

City* State/Province* Zip Code* Work Phone Home Phone Email*

About the Child

First Name* Last Name* Date of Birth* / / Street Address* Address (cont.) City*

State/Province* Zip Code* Home Phone* Child's Age* Child's Gender* Your Relationship To Child*

* required

Parents

Enroll a Child

Referral Form

About Yourself

About the Child

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