ITDept@bristolct.gov
111 North Main Street, Bristol, CT, 06010, US
860-584-6100
Bristol Parks, Recreation, Youth and Community Services (BPRYCS) is coordinating the Back-to-school Backpack Program to assist families in need of backpacks and/or school supplies to assist with a smooth transition back to school.
*Forms need to be returned by Friday, August 9, 2024
Attach 1 month’s income verification and number of children in the household. Income verification includes pay stubs from wages, and/or statement of benefits received from unemployment, social security, child support, and DSS benefits including SNAP.
If you have any questions, please contact Raven Cody at BPRYCS (860) 314-4690.
We will contact you to schedule pick-up for your items at: 51 High Street, Bristol, CT 06010
Date Referred
Full Address
Gender - Please select one
Do you have another child to add?
Gender Child #2 - Please select one
Do you have a third child to add?
Gender Child #3 - Please select one
Do you have a fourth child to add?
Gender Child #4 - Please select one
Do you have a fifth child to add?
Gender Child #5 - Please select one
UPLOAD FILE(S) - Attach 1 month’s income verification and number of children in the household. Income verification includes pay stubs from wages, and/or statement of benefits received from unemployment, social security, child support, and DSS benefits including SNAP.
UPLOAD FILE(S) - Please attach proof of Bristol address.
Parent/Guardian Signature
