Upcoming Youth Events | Elevate Bridgeport

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Bassick High School-Museum Trip

Ruby & Calvin Fletcher African American History Museum Permission Slip

Yes, my daughter/son has permission to go to Ruby & Calvin Fletcher African American History Museum in Fairfield with Elevate Bridgeport on Wednesday, February 22nd. There is no cost for students to attend this trip. This trip is sponsored by your child’s teacher-mentors who teach their Elevate Course at Bassick High School.

Please be aware that this trip will be held after school hours and Bassick High School cannot be held liable. Students will be picked up from Bassick at 12:30 pm and dropped off at Bassick at 4pm.

Student's First Name

Student's Last Name

Enter Student's Grade

Parent's First and Last Name

Parent's Phone

Parent's Email

Please list any allergies your child might have.

In case of emergency, illness or accident, I give permission for my child to receive immediate and necessary medical attention. If I cannot be reached, please contact the following person(s)..

Emergency Contact's Name

Phone

By clicking the button below and submitting this permission slip you are agreeing to allow your child to participate in this activity with Elevate Bridgeport.

I agree to allow my child to particiate in the trip as outlined in this pemisson slip.

Thanks for giving your child permission to participate.

Submissions are needed by 2/15/23.

Bridge Academy Game Club Registration Form

Trendsetters Registration Form

Bassick High School-Museum Trip

Ruby & Calvin Fletcher African American History Museum Permission Slip

In case of emergency, illness or accident, I give permission for my child to receive immediate and necessary medical attention. If I cannot be reached, please contact the following person(s)..

By clicking the button below and submitting this permission slip you are agreeing to allow your child to participate in this activity with Elevate Bridgeport.