Discount Application Form - Intentional Sports

Are you 18 years or older?*

You must be at least 18 years of age to apply for a discount.

Today's Date*

Application Type*

Are you an organization or individual?

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Event

Are you applying on behalf of a minor(s)?

Please list the name(s) of the participant(s) for whom you are applying.

Please separate each name with a comma.

For each minor please list the names and activity for whom you are applying for.

Relation to Minor

Minor's Date of Birth

Address

(If different from your own)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long at current address?

What type of proof of residency can you provide?

Utility bill (e.g., gas, electric, water)

Lease agreement or mortgage statement

Bank or credit card statement

Property tax bill

Voter registration card

Official government mail (e.g., tax documents, benefits statements)

Letter from a landlord or property manager confirming residency

What type of proof of ID?

Driver's license or state ID

U.S. passport

Military ID

Permanent resident card (Green Card)

Social Security card

Chicago CityKey (a city-issued ID for Chicago residents)

Employment authorization document

Have you been approved for government financial hardship programs?

Supplemental Nutrition Assistance Program (SNAP)

Medicaid

Temporary Assistance for Needy Families (TANF)

Low Income Home Energy Assistance Program (LIHEAP)

Free or Reduced-Price School Lunch Program

Housing Choice Voucher Program (Section 8)

Other state or local assistance programs

Organization Name

Bypass this section if you applying as individual.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relation to Organization

Name of Organization

Type of Organization

Main Activity of your Enterprise

Number of annual members/registrants/participants?

What is your 501c3 Mission?

Intentional Goals.
Intentional Change.

Discount Applications