Organization Application | Children's Museum (Winnipeg, MB)

Name of Organization*

Name of Organization Director*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone Number*

Fax Number*

Contact Email*

Is this organization not-for-profit?*

Yes
No

Is this organization a charitable organization?*

Yes
No

Charitable Registration Number*

Is this organization governed by a volunteer Board of Directors?*

Yes
No

What is the organization's mission statement?*

What demographic(s) does this organization serve?*

How does this organization usually pay for outings?*

Out of Organization's Budget
By Fundraising
By Parental Funding

Please explain how your organization would benefit from support through the Children's Museum Free2Play Access Program*

What is the preferred method of Free2Play Access Program support for your organization?*

Group Visit
Family Admission Passes

Estimated Number of Passes Requested*

Please enter a number from 1 to 20.

Please Note: Each Family Admission Pass is valued at $66.00.

Is there any other information you would like to bring to our attention for consideration with this application?

Please attach any information materials (i.e., brochures) about your organization that may support this application.

Max. file size: 50 MB.

Declaration: As a representative of the above-listed organization, I declare that the information provided by me on this application form is accurate & complete, and that any false or misleading statements may be sufficient ground for cancelling any arrangement made. I also understand that this application form does not guarantee my organization a place on the Free2Play Access Program. I understand that assistance from the Children’s Museum is discretionary.*

Yes
No

Applicant's Name*

First Last

Applicant's Position/Job Title*

Applicant's Email*

Would you like to receive our monthly eNews updates?*

Yes
No