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Elevate Bridgeport

Divine ID

Every Wednesday starting

March 12, 2025, from 2:30 to 4:30 pm

for 6 weeks

First name*

Last name*

Phone*

Email*

Parent/Guardian Name *

Parent/Guardian Contact Phone*

Emergency Contact Name *

Emergency Contact Phone*

What school do you attend?*

What grade are you in?*

I give permission for my child to go with Elevate Bridgeport Staff to the Elevate Office.

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

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Elevate Bridgeport

Downtown Bridgeport Scavenger Hunt

Monday, March 24th, 2025

from 3pm to 5pm

Student's First name*

Student's Last name*

Student's Phone*

Student's Email*

Parent/Guardian full name*

Parent/Guardian's Phone*

Emergency Contact Full Name *

Emergency Contact Phone*

I give permission for my child to go with Elevate Bridgeport Staff on the Downtown Bridgeport Scavenger Hunt.

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

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Save the Date

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