BRIDGES Annual Prom Giveaway Registration 🎉✨

BRIDGES Annual Prom Giveaway Registration 🎉✨

Complete the form to apply for prom support and resources.
Participant Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Gender
School Name
Grade Level
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian (If under 18)
Parent/Guardian Name
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email Address
example@example.com
Prom Needs
What items/services do you need?
Sizes
Dress Size
Shirt Size
Pant Size
Shoe Size
Student Statement
Why would you like to receive support from this Prom Giveaway?
Demographics (Optional – For Grant Reporting)
Race/Ethnicity
Household Income Range
Important Disclosures & Agreements
I understand that all clothing, services, and resources provided through this event are donated by community partners, sponsors, and volunteers, and are not sold or guaranteed.
I understand and agree that: - All beauty and grooming services (including hair, makeup, barbering, etc.) are provided by independent, licensed beauty professionals and cosmetologists - Each provider operates independently and maintains their own professional license and liability insurance - B.R.I.D.G.E.S for Inclusion & Diversity Empowerment, Inc. is not responsible or liable for any services performed by these independent providers - Any concerns, reactions, or issues related to services must be addressed directly with the service provider
I give permission for photos/videos to be taken and used for promotional, educational, and grant reporting purposes.
I agree to attend my scheduled appointment time if selected and to respect staff, volunteers, and other participants.
Signature
Participant Signature
Parent/Guardian Signature (if under 18)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

BRIDGES Annual Prom Giveaway Registration 🎉✨

Participant Information

Parent/Guardian (If under 18)

Prom Needs

Sizes

Student Statement

Demographics (Optional – For Grant Reporting)

Important Disclosures & Agreements

Signature