ELEVATE BRIDGEPORT

Hamilton at the Bushnell

Hartford, Connecticut

Tuesday, November 4th, 2025

Leaving Elevate Office at 5:15 pm. Returning to Office at 11:30pm

First name

Last name

Student's Phone

Email

Parent /Guardian Full Name

Parent/Guardian Phone

Parent/Guardian Email

Emergency Contact Full Name

Emergency Contact Phone

What High School do you currently attend?

Bassick High School

Bridge Academy

What grade are you in (fall 2025)

I give permission for my child to go with Elevate Bridgeport staff on the Hamilton Musical Trip to the Bushnell in Hartford.

I hereby grant Elevate Bridgeport permission to use the above student's likeness in a photograph, video, or other digital media in any and all it's publications and social media

ELEVATE BRIDGEPORT

Friendsgiving Dinner RSVP

ELEVATE BRIDGEPORT

Hamilton at the Bushnell