eSPACE

Providence School / New Life Christian Fellowship Events

Event: Middle School Camp

You are going to register for following dates:

Event Date 1: Monday, Jul 22, 2024 8:30 AM - 11:30 AM

Event Date 2: Tuesday, Jul 23, 2024 8:30 AM - 11:30 AM

Event Date 3: Wednesday, Jul 24, 2024 8:30 AM - 11:30 AM

Ticket(s):

Providence Student - Morning Session - $155.00

Venue:

2701 Hodges Blvd. ,
Jacksonville, FL 32224

Fill up the form and click Next to go to next step.

Ticket Type

Providence Student - Morning Session - $155.00

Personal Information

First Name *

Last Name *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Telephone Number *

Parent/Guardian Email *

Additional Parent/Guardian First Name

Additional Parent/Guardian Last Name

Additional Parent/Guardian Telephone Number

Additional Parent/Guardian Email

Address *

City *

State *

Zip *

EMERGENCY CONTACT - FULL NAME *

EMERGENCY CONTACT - PHONE NUMBER *

Guardian birth date is required for background check prior to attending. If you are attending this MUST be entered.

Guardian Birth Date

By checking the agreement box on this form you are agreeing to the terms below set forward by Providence School of Jacksonville, Inc. *

Yes

Release of Liability

Release of Liability.pdf

Total number of tickets