Upcoming Events | Elevate Bridgeport

LAKE COMPOUNCE PERMISSION SLIP

Student's Firt Name

Student's Last Name

Parent's Email

Parent's First Name

Parent's Last Name

Parent's Phone Number

Street Address

City

Region/State/Province

Postal / Zip code

Country

Select your child's grade

9th

10th

11th

12th

Emergency Contact Phone Number

Emergency Contact Name:

Which school do you attend?

What will be your mode of transportation?

By checking the box below I give my child permission to attend the trip to Lake Compounce.

Yes, I give permission for my child to attend with Elevate Bridgeport

Thanks for registering. See you there!

EPIQ NY PERMISSION SLIP-BY INVITATION ONLY

Student's Firt Name

Student's Last Name

Parent's Email

Parent's First Name

Parent's Last Name

Parent's Phone Number

Street Address

City

Region/State/Province

Postal / Zip code

Country

Select your child's grade

9th

10th

11th

12th

Emergency Contact Phone Number

Emergency Contact Name:

By checking the box below I give my child permission to attend the EPIQ GLOBAL BY TRAIN IN NYC.

Yes, I give permission for my child to attend with Elevate Bridgeport

Thanks for registering. See you there!

NORTHEAST COLLEGE AND CULTURE PERMISSION SLIP

Student's Firt Name

Student's Last Name

Parent's Email

Parent's First Name

Parent's Last Name

Parent's Phone Number

Street Address

City

Region/State/Province

Postal / Zip code

Country

Select your child's grade

9th

10th

11th

12th

Emergency Contact Phone Number

Emergency Contact Name:

List below the foods your child is allergic to.

List below the medications perscribed to your child by a physician.

Name of Health Insurance Provider

Health Insurance Plan Number

Health Insurance Group Number

By checking the box below I give my child permission to attend BUFFALO, NY and NIAGARA FALLS COLLEGE TOUR.

Yes, I give permission for my child to attend with Elevate Bridgeport

Thanks for registering. See you there!