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If you are interested in more information about enrolling a child in the Big Brothers Big Sisters program, please fill out this form, or contact us at 800-492-5550, extension 257 or email us.

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Name of parent or guardian:
Name of Child:
Address:
City:
State:                                                Zip:
Age of Child:                        Gender: 
Home Phone:
Work Phone:
E-mail:
(Please do not forget this field if you would like us to respond by email.)
Fax:
Please tell us a little bit about how your child might benefit from a relationship with a Big Brother or Big Sister:
 

 
   
See results of national impact studies and local program evaluations
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Big Brothers Big Sisters of Eastern Maine, 52 Christian Ridge Road, Ellsworth ME 04605, 207-667-5304, bbbs@downeasthealth.org
A program of Downeast Health Services and a United Way Partner