Find a Buddy
*This form is to be filled out by the adult parents/guardians of the child. We are an organization that is led by high schoolers with high school volunteers from all over California. Our volunteers are not approved by any hospital or healthcare professional, but the Blue Bloom team makes sure to conduct a thorough orientation before they work with your kids.
Create a special bond with kids with special needs and high school students and above. We will have two options either group, individual, or both depends on your child. The buddies can talk online, and this will give them some social interaction, especially during a lockdown.
Kid's name (First, Last) *
Age *
Gender *
Parent's Name (First, Last) *
Parent's Email *
Parent's Phone Number *
Time Zone *
Availability (mark all the times your child is available)
8AM - 9AM
9AM - 10AM
10AM - 11AM
11AM - 12PM
12PM - 1PM
1PM - 2PM
2PM - 3PM
3PM - 4PM
4PM - 5PM
5PM - 6PM
6PM - 7PM
7PM - 8PM
What are your child's disabilities? (This is purely to help prepare the buddy.) *
Which programs is your child interested in? *
Do you agree with the privacy policy? (Privacy Policy: *
Child's Interests *
Would you like your kid to try new hobbies, and what would those be? *
What are your goals for your child? (ex: develop a hobby, get more social interaction, etc.) *
Anything we should know or be aware of.
How did you hear about us? *
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