Enroll Your Child A - Big Brothers Big Sisters of Eastern Massachusetts

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HERE FOR YOU.

We know this year has been a challenging time for many families. We’re here for you.

Is your child between the ages of 7-12 in the Eastern Massachusetts area, Cape Cod or Martha’s Vineyard? Could they use an additional positive adult in their life? Take the first step and fill out our quick form and we’ll get back to you within the next couple of days.

ENROLL YOUR CHILD

Guardian Information

Guardian First Name

Guardian Last Name

Guardian Email

Guardian Mobile Phone

Guardian Street Address

City

State

Zip Code

Spanish preferred?

YesNo

How did you hear about the program?

What is their counselor or therapist's full name?

Who told you about the program?

Which school does your child attend?

What's the name of the community organization?

Child's Information

Child's First Name

Child's Last Name

Your Relationship to Child

Child's Date of Birth

Child's Gender

FemaleMaleNon-BinaryPrefer to self-describe

How long has the child lived in the current home?

Do you expect the child to be moving in the next 12-18 months?

YesNo

How do you prefer we follow up with you?

Phone CallVideo CallEmail/TextInterpretation Needed for Deaf/Hard of Hearing

Contact Information

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Help us make Eastern Massachusetts a better region for incredible kids to grow up in. Stay in touch with us to get recent news, upcoming events and more!

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Email*
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184 High Street, 3rd Floor
Boston, MA 02110
(617) 542-9090

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