Please make sure you’ve read our program guidelines before submitting your application. If you have questions, please consult our FAQ or email us at email@example.com. Community Organization Membership Application Please verify the following:* My organization is a 501(c)3 nonprofit that serves children and families and does not discriminate based on race, religion, ethnicity or sexual orientation. My organization does not charge clients for services. Groups visiting from my organization will include no more than 10 children per visit and will maintain a 1:5 adult to child ratio. Organization NameOrganization Tax ID#*Primary Contact Name* First Last Position/Title*Primary Contact Email* Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Contact Phone*Approximate number of clients served annually*Clients' age range*Disclose organization's name on membership card?*For privacy and security, your organization may choose to be identified on the card by a unique number rather than the organization name.YesNoOrganization's mission statement*How will your organization use its Community Partner Membership?*Occasionally we will email a survey requesting information on how the membership is being used and to help make improvements. This email address will also be used for making online ticket reservations.Verification* I read, understand and agree to the rules and guidelines listed above.E-sign* Name Date EmailThis field is for validation purposes and should be left unchanged.