Big Buddies Program - Elementary Student Parental Consent Form
Dear Elementary School Big Buddies Parent,

Thank you for allowing us to serve your child through our school-based mentoring program. Given the current school closures, we understand that this can be a difficult time for our families to try and navigate. While our school-based program's rules and guidelines do not allow for Bigs and Littles to exchange contact information (phone, email, address, etc.), we are able to make exceptions in order for our matches to stay connected in these difficult and uncertain times so our kids can have just a little bit of normalcy and someone else to talk to right now.

By completing this form, you are giving your child permission to connect with their Big virtually, or by phone or mail during this time. This connection will look different between matches, and we encourage you to connect with your child's Big (or their parent/guardian) to decide what the most appropriate kind of communication will be for their match. We can help in figuring this out as well.

Once the parent/guardian of both the Big and the Little have completed this form, the Program Coordinator working with your child's school will take charge of initiating the communication between match parties. If you have any questions or concerns, please contact the Program Coordinator who works with your child. Make sure to let them know your student's name in any written communication.

*This release is effective from the day that it is completed, through the day that in-person schooling resumes in the 2019-2020 school year*

Shelby County:
Mandi Croft can be reached at mandi@bigbrobigsis-shelbydarke.org, by facebook messenger, or by cell phone through texting or calling 937-507-2797.

Darke County
Becca Cotterman can be reached at becca@bigbrobigsis-shelbydarke.org or by cell phone by texting or calling 937-567-2996
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Parent/Guardian Name: *
Elementary School(s) - If you have more than one child participating in programs, you may include all of the schools that involve your children. *
What County is your school in? *
Student(s) Name(s): (If you have more than one student involved in Big Buddies, list all children you are giving permission for.) *
I ALLOW my child to communicate with his/her Big through the following means: (Please note that these exchanges will NOT be monitored by BBBS.) *
Required
By typing my name below, and giving permission for communication to continue, I agree to monitor my child's interactions with their Big Buddy, ensuring that all communications are appropriate, and release Big Brothers Big Sisters of Shelby and Darke County from any liability as it relates to these communications. * *
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