Three Ways To Pledge

Every step you take...

...will make a difference

Individual
$25.00 minimum pledge

Mini-Team
$100.00 minimum pledge

$25-$125 provides blankets,

sheets, toiletries and bus tokens
for the homeless.

$126-$249 provides warm

clothing for many homeless
children, families and individuals.

$500 provides food for a homeless

family of four for one month.

$1000 provides 60 days of

Transitional Housing for a family.

$2500-5000 provides 60-90 days

emergency shelter and resources
for a homeless family.

$10,000 provides six months of

housing, food, counseling and
resources for a homeless family.

Team or Group
$200.00 minimum pledge;
a maximum of ten on a team
Fax Registration Form to:
203.367.1246
All pledges must be turned
in before the walk.

Participate in other ways:

Sponsor another walker
Volunteer at the walk
Call and get involved:
Carmen Colon
203.366.2809 Ext. 113
Make A Donation to:
Alpha Community Services YMCA
2015 Walk To End Homelessness
387 Clinton Avenue
Bridgeport, CT 06605

All donations collected will directly benefit

the programs of Alpha Community Services
YMCA (ACS) including the Families in
Transition Shelter, Bridgeports only Family
Emergency Shelter. Contributions are 100%
tax deductible.

THANK YOU TO OUR

EVENT SPONSORS:
CAPTAINS COVE SEAPORT
LAMAR

Alpha Community
Services YMCA
A Branch of Central Connecticut Coast YMCA

14th Annual

Walk To End
Homelessness
Saturday, May 16, 2015
Registration: 8:30AM
Walk Starts: 9:30 AM
4 Mile Walk - Rain or Shine
Captains Cove Seaport
Bridgeport, CT

PEOPLES BANK

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Join Us For A Walk

and Lots of Fun!
FACE PAINTING - PRIZES - REFRESHMENTS - RAFFLE

Alpha Community
Services YMCA
_______________________________________
Walker Name
_______________________________________
Address

14th Annual

Walk To End Homelessness

Registration begins at 8:30 AM

FREE T-SHIRTS for the first 250
registered walkers

Walker Pledge Form

Name of Walker: _________________________________
Name of Team: ______________________________ __
Ask family, friends, and co-workers to sponsor your walk by making a donation.
Fill in sponsors name, address and amount of donation. Each person, regardless of
age, needs their own sponsorship form. Collect all pledges before the walk and turn
in form at registration. Please make checks payable to ACS Walk 2015

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_______________________________________
Phone

________________________________

Email __________________________________

Sponsor Name

Address

Phone Number

Total
Pledge

Paid
Check or Cash

Birth Year _______________________________

May we contact you to volunteer next year?
Waiver Required for each Walker: In consideration for accepting this entry, I, the undersigned, intending to be legally bound, hereby for
myself, heirs and executive administrator, waive
and release any and all rights for damages I may
have with the Walk to End Homelessness and
verify that I am physically fit to undertake the
Walk which I shall do.
IMPORTANT NOTICE: WALKERS UNDER 18
MUST HAVE SIGNATURE OF PARENT OR LEGAL
GUARDIAN.

_______________________________________
Walker Signature and Date
_______________________________________
Parent or Guardian Signature and Date
(if under 18)
_______________________________________
Emergency Contact
_______________________________________
Relationship
Phone Number

Thank you in advance for your support from all the Alpha Community Services YMCA families and children!
Directions to Captains Cove Seaport
I-95 North: Take Exit 24. Go straight through light, and then bear right following Black Rock Turnpike. Go past BJ's and
theaters to Fairfield Avenue. Take left onto Fairfield Ave. and at next light take a right onto Ellsworth St. (Krauszers). At stop
sign, take left onto Prescott St. At next stop sign, go straight across to Yacht St. Follow Yacht St. right into the parking lot.
I-95 South: Take Exit 26 and follow signs for Captains Cove.