Night At The Museum Registration Form

NIGHT AT THE MUSEUM

Guardian's Name*
First Last
Relationship to child(ren) attending*
Address*
Street Address City State ZIP Code
Email*
Phone*
Please list the names of the children attending and their birthdates.*
Does anyone attending have any special needs or learning disabilities?*
Does anyone attending have any allergies or medical conditions?*
Emergency Contact*
First Last
Relationship*
Address (if different from above)
Street Address City State ZIP Code
Phone*
Are you a member of NHM?*
- Yes
- No
Would you like information about membership?*
- Yes
- No
Non-member overnight admission Quantity
Price: $35.00
Non-member evening-only admission Quantity
Price: $20.00
Member overnight admission Quantity
Price: $30.00
Member evening-only admission Quantity
Price: $15.00
Total
$0.00
Payment information*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
During this program or event, you consent to be photographed, filmed, and/or otherwise recorded, and you consent to any minor children accompanying you to be photographed, filmed, and/or otherwise recorded. Your entry constitutes your consent (and consent for any accompanying minor children) to such photography, filming and/or recording and to any use, in any and all media, throughout the universe, in perpetuity, of your (and your accompanying minor child’s) appearance, voice, and name for any purpose whatsoever, including commercial purposes, in connection with the National Hellenic Museum. You understand that all photography, filming and/or recording will be done in reliance on this consent given by you by entering this area. If you do not agree to the foregoing, please notify Museum staff when you arrive.

For more information please contact:

Kaitlan Johnson, Family & Arts Program Coordinator
(312) 655-1234, ext. 16
kjohnson@hellenicmuseum.org

NIGHT AT THE MUSEUM

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