eSPACE

Providence School / New Life Christian Fellowship Events

Event: 2nd Grade Adventure Landing End of Year Party

Date: Tuesday, May 21, 2024

Time: 10:00 AM — 2:00 PM

Ticket(s):	Providence School / Student Attendee - FREE
	Providence School / Chaperone - $15.00
	Providence School / Chaperone - $21.00

Venue:

1944 Beach Blvd. ,
Jacksonville, FL 32250

Join 2nd grader students for their end-of-the-year party at Adventure Landing Waterpark.

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

Ticket Type

Providence School / Student Attendee - FREE

Providence School / Chaperone - $15.00 Registration ended

Providence School / Chaperone - $21.00 Registration ended

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

What class is your child in? *

Mrs. Black

Ms. Green

Mrs. Kwartler

Mrs. Miller

Total number of tickets