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 8, 2025
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 - Child #1 - Please select one
Child #1 Backpack/Supplies - Color Preferred (We will try our best to provide desired colors/styles, Please note we cannot guarantee requests. We appreciate your understanding.)
Child #1 Supplies - Please select if you would like to have the child's bag filled with age-appropriate school supplies:
UPLOAD FILE - Child #1 Birth Certificate
Do you have another child to add?
Gender - Child #2 - Please select one
Child #2 Backpack/Supplies - Color Preferred (We will try our best to provide desired colors/styles, Please note we cannot guarantee requests. We appreciate your understanding.)
Child #2 Supplies - Please select if you would like to have the child's bag filled with age-appropriate school supplies:
UPLOAD FILE - Child #2 Birth Certificate
Do you have a third child to add?
Gender - Child #3 - Please select one
Child #3 Backpack/Supplies - Color Preferred (We will try our best to provide desired colors/styles, Please note we cannot guarantee requests. We appreciate your understanding.)
Child #3 Supplies - Please select if you would like to have the child's bag filled with age-appropriate school supplies:
UPLOAD FILE - Child #3 Birth Certificate
Do you have a fourth child to add?
Gender Child #4 - Please select one
Child #4 Backpack/Supplies - Color Preferred (We will try our best to provide desired colors/styles, Please note we cannot guarantee requests. We appreciate your understanding.)
Child #4 Supplies - Please select if you would like to have the child's bag filled with age-appropriate school supplies:
UPLOAD FILE - Child #4 Birth Certificate
Do you have a fifth child to add?
Gender Child #5 - Please select one
Child #5 Backpack/Supplies - Color Preferred (We will try our best to provide desired colors/styles, Please note we cannot guarantee requests. We appreciate your understanding.)
Child #5 Supplies - Please select if you would like to have the child's bag filled with age-appropriate school supplies:
UPLOAD FILE - Child #5 Birth Certificate
UPLOAD FILE(S) - Please attach 1 month’s income verification. 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
