This release of information form will be used to check with the school about your child's performance and behavior. Kindly sign by the X and return with the application. If this form is not returned signed, we cannot proceed with your application for the Big Brother or Big Sister.
We need information about your child so that we can determine, with your help, how Big Brothers Big Sisters of Coastal & Northern New Jersey can best help him/her. Any information provided by you or other agencies will be kept completely confidential. If you have any questions, please contact our office.
To provide service to your son/daughter, it is important for us to know all about him/her.
Please sign the following statement:
I grant permission to any school to allow my son/daughter to meet with a worker from Big Brothers Big Sisters of Coastal & Northern New Jersey and to release any information regarding myself or my children to Big Brothers Big Sisters of Coastal & Northern New Jersey. This release also applies to any physician, welfare or social agency or hospital.
In submitting this application to Big Brothers Big Sisters of Coastal & Northern New Jersey (BBBSCNNJ) for my child, I understand that: