Financial Assistance Application – Admission Passes

To apply for financial assistance for daily admission passes, please complete the application below. A $1 application fee per pass requested is required in order for your application to be considered. Please allow up to two weeks for your application to be reviewed.

Requester Information

Contact Person(Required)

First Name Last Name

Email(Required)

E-mail Address Confirm E-mail Address

Phone(Required)

Mailing Address

Street Address City State ZIP Code

Which of the following are you submitting this application for?(Required)

School/Organization

Family/Individual

School/Organization Name(Required)

EIN (Tax ID #)(Required)

Estimated gross family income per month(Required)

Number of dependents in your household(Required)

Request Information

A $1 application fee per pass requested is required for consideration of your financial assistance application.

Adult (age 18+) Admission Pass

Price:

Quantity(Required)

Youth (ages 6-17) Admission Pass

Price:

Quantity(Required)

Child (ages 1-5) Admission Pass

Price:

Quantity(Required)

Senior (age 65+) Admission Pass

Price:

Quantity(Required)

Please provide a summary stating why you are seeking financial assistance and how you intend to use the passes you are requesting(Required)

Application Fee

Total

Credit Card Information(Required)

Card Details

Cardholder Name