ELEVATE BRIDGEPORT

Monday, November 24th, 2025 @ 6pm to 7:30 pm

Bingo Basket Bash

Student's First Name

Student's Last Name

Student's Email

Student's Phone Number

What school do you attend?

What grade are you in?

Parent/Guardian Full Name

Parent/Guardian's Phone Number

Parent/Guardian Email

How many people in your household want to participate?

Please list name and email of all who want to Play Virtual Bingo.

Would you like to receive a free turkey with fixings for your Thanksgiving?

yes

no

Drop Off will be either Thursday, Nov 20th or Friday Nov 21st.

Thursday, Nov 20th

Friday, Nov 21st