Academy Prep St. Petersburg

Beach Blanket Bingo

Registration Form


You may use this form to register as a as an individual for yourself and guests for the event. You may then make your payment using a credit card by phone, or by check via mail. You may also make your payment in person at the event. Payment information is at the bottom of the form.

Please fill in your information and press the "Send Us Your Message " button. Your response will be automatically emailed to us. Thank You.

Name: *

Street Address *

City * State * Zip Code *

Daytime Phone *

Mobile Phone

Email Address *

* Required information
Sponsor Teachers or Make A Donation

I would like to sponsor an Academy Prep teacher at $200 per person.
Number of teachers to sponsor  

For those who are unable to attend the main event, but would like to sponsor an Academy Prep teacher: $2,500 Entire table of 10 Academy Prep teachers / staff 
(Includes 2 tickets to the Patron Party, 1/8 page ad and special recognition in the event program)

I am unable to attend, please accept my donation of  $


Tickets

Please reserve the following:

INDIVIDUAL TICKET(S) $200/PERSON - Number of tickets

PATRON TICKET(S) $500/PERSON - Number of tickets
For those wishing to provide additional support for a student sponsorship

Please list your name and the names of your guests below.

 

  

 

Payment Information:

By phone: 727-322-0800 x2109

By mail: Academy Prep Center of St. Petersburg
             2301 - 22nd Ave. S.
             St. Petersburg, FL 33712
Please make your check payable to: Academy Prep Center of St. Petersburg

 

VISA, MasterCard, American Express and Discover accepted.