Game On – Child Application Form

Game On! - Child Application Form

If you are interested in registering a child for the Game On! program virtually or in-person this 2020-2021 school year, please fill out the following form. An electronic waiver will be sent to the Parent/Guardian upon submission, and this waiver must be returned to Big Brothers of Greater Vancouver staff prior to the student participating in our programs. During the COVID-19 pandemic, an additional participatory waiver must also be signed. These waivers will be sent to the e-mail address provided.

Step 1 of 3

  • MM slash DD slash YYYY
  • Emergency Contact

    Please ensure this person is someone other than the parent/guardian, and they must have a phone number that is different from the parent/guardian.

For more information, please contact:

Mentoring Coordinator, Ray Khan at 604- 764-8535 or rayhaan.khan@bigbrothersbigsisters.ca

Scroll to Top