| Question |
Answer |
| Registration Form - Providence / Registration |
| Accounting Project ID Number |
30-600 |
| If this is a club, please list the club owner(s) to be listed on the online registration: |
Matthew Augenstein & Joy Robertson |
| Location Name |
Providence |
| Location Address |
2701 Hodges Blvd., Jacksonville, FL 32224 |
| Ticket Price(s) and Label(s) (ex. Student $0, Chaperone $20, Alumni $15, etc.) |
$337 with fees |
| Brushfire Registration Start Date and Time |
12/17/25 midnight |
| Brushfire Registration End Date and Time |
1/6/26 11:59pm |
| Description: This is information that will be on our website about your event. Use complete sentences. |
Students will meet 4 Saturdays in a row with Evan DeCosta from FL Finest Tutors. |
| Check the grade levels your event or club is available for: |
11th Grade |
| Check the grade levels your event or club is available for: |
12th Grade |
| Do you want to cap one or more of your registration types (ex. 16 students, 10 chaperones, 300 people)? |
Yes |
| List the cap size for each registration/ticket type (ex. 16 students, 10 chaperones). If no cap, leave this blank. |
25 |
| List any event specific questions to add (ex. sandwich type, shirt size ($0, $15), homeroom teacher). |
Student Full Name
Student Email
Student Phone
Student Grade
Parent Full Name
Parent Email
Parent Phone |
| I do not want to publish my registration on the website. My event is by invitation only. Please send me the link when it is ready. |
True |