ALPHA COMMUNITY SERVICES

A Branch of Central Connecticut Coast YMCA

387 Clinton Avenue, Bridgeport, CT 06605
P: 203 266 2809
F: 203 367 1246

2015 Walk to End Homelessness

May 16, 2015 (Captains Cove Seaport in Bridgeport)
Community Agency Form
Agency Information
Agency Name
Address
Telephone #

E-Mail

Contact Person
If Walking in a Team Please Provide team name & the number of people in a team
Name:

Number of Participants:

Check all that apply:

Yes, I will set a table (table setup at 8:00 am)

Yes, I will be a walker

Yes, I will walk in a team

The Alpha families and children extend a warmhearted thank you

for your support of the 2014 Walk to End Homelessness.