Big Brothers Big Sisters of Central Iowa - Child Inquiry Form
To learn more about enrolling your child, please either complete the form below, or call Taylar Neighbour, Child Enrollment Coordinator, at 515-288-9025 x237. If you choose to complete this online form, we will be in contact to gather more information about your child and provide details about the enrollment process.
Email address *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Gender
Your answer
Child's Date of Birth (we are only able to enroll children Kindergarten-14 years old) *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Type of Phone *
Zip Code (we are only able to enroll children in Warren, Dallas, and Polk counties) *
Your answer
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