ELEVATE BRIDGEPORT

Fall Harvest Corn Maze

Treat Farms - Milford Connecticut

Monday, October 20th, 2025

Leaving Elevate Office at 5:30 pm. Returning to Office at 9pm

Student's First Name

Student's Last name

Student's Phone Number

Student's Email

Parent/Guardian Full Name

Parent/Guardian Email

Parent/Guardian Phone Number

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 Fall Harvest Corn Maze

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

I have submitted a waiver for my child for the 2025-2026 School Year (link below)

English Waiver

Spanish Waiver

I have submitted a Registration Form for my child for the 2025-2026 School Year (link below)

Registration for 2025-2026 SY | Elevate Bridgeport

ELEVATE BRIDGEPORT

Fall Harvest Corn Maze

ELEVATE BRIDGEPORT

Hamilton at the Bushnell