Discount Application Form

Application Type*

Are you an organization or individual?

Name*

First Last

Are you 18 years or older?*

Date of Birth*

Email*

Phone*

Address*

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

Today's Date*

Activity*

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.

You must be at least 18 years old and a parent/guardian to apply for a discount. Thank you.

Relation to Minor*

Minor's School*

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?*

(Check all the apply)

What type of proof of ID?*

(Check all the apply)

Have you been approved for government financial hardship programs?*

(Check all the apply)

Residency Document(s)

Max. file size: 128 MB.

ID Document(s)

Max. file size: 128 MB.

Are you interested in a facility membership?

Family or Individual Membership?

Name*

First Last

Email*

Relation to Organization*

Name of Organization*

Type of Organization*

Other

(Please specify)

Main Activity of your Enterprise*

EIN*

Number of annual members/registrants/participants?*

What is your 501c3 Mission?*

Do you have an EIN?*

EIN*

Address*

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

Number of annual members/registrants/participants?*

What are you seeking discount for?*

Other

(please specify)

Is this event/series exclusive to your organization or open to the community?*

Other

(please specify)

Do you provide discounts/financial assitance?*

If so, how?*

(check all that apply)

On what basis?*

(check all that apply)

Intentional Goals.
Intentional Change.

Discount Applications