Go Girls Registration

Big Brothers Big Sisters of Oxford County respects your privacy. The information provided in the form below will be used to create a confidential participant file.

Go Girls Registration_In Person Groups

"*" indicates required fields

Child/Youth Information

Youth Name*

First Last

Date of Birth*

Gender Identity/Expression*

Does your child/youth have any dietary restrictions or allergies?

Please list

Is there anything else we should know about your child that will help us serve them to the best of our ability? (diagnosis, behavioural concerns or medical conditions)

Child/Youth Current Grade*

We will try and match your child/youth with participants in the same grade.

Family Contact Information

Parent/Guardian Name*

First Last

Address

Street Address Address Line 2 City Province Postal Code

Phone

Email*

Enter Email Confirm Email

Scheduling Information

Has your child participated in the Go Girls Program before?*

Yes

I'm not sure

This field is for validation purposes and should be left unchanged.