"*" indicates required fields

Step 1 of 2

Parent/Guardian Name*
Child Name*
Gender*

Select date MM slash DD slash YYYY
Postal Code*
Sessions*
Please select the session you would like to register your child for. All groups run from 6:30 to 8:00 PM. Note: All outings will be at a local school in each area.
Transportation*
Are you able to provide or arrange transportation for your child?
If you are unable to provide transportation we cannot guarantee a spot in the group for your child. You will be contacted by BBBSWR if you are unable to provide transportation to confirm if there is a volunteer ride available.