2022-2023 Application Form to Request Community Access Passes
Fill this out to request passes on behalf of your organization or for an organization you represent. You must work for or be a leader of the organization. Individuals benefiting from the organization's mission, should forward this form to a leader or employee of the organization
The Botanical Garden of the Ozarks is a nonprofit that does not receive any government or city funding. However, we want the garden to be accessible to everyone in our community. Therefore, with help from the Walmart Foundation, we are able to grant single-use garden admission passes to underserved and disenfranchised groups in the community. We do not give passes to individuals. This application is to apply for passes on behalf of a community organization such as a nonprofit, business, or group that serves a population of people who would not otherwise be able to afford garden admission.
Please fill this out to be considered for free community access passes for your organization. We will review the application and consider your request. Not all applications are approved.
Your Full Name
First Name
Last Name
Your Email
example@example.com
Role with the organization you are applying for:
You must work for or be a leader of your organization. Individuals benefiting from the organization's mission, should forward this form to a leader or employee of the organization.
Organization Your are Requesting Passes for:
Organization's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Briefly Describe what this Organization does:
Keep your answer to 1-3 sentences
Who will the free admission passes go to:
Low-income families
Low-income elderly
At Risk Youth
At Risk Adults
Individuals with Disabilities
Individuals suffering from Mental Health
Veterans
Minorities
LGBTQ+
Front-line Workers serving the Community during the Covid-19 Crisis
Other
If you chose other, please elaborate:
Number of Passes you are Requesting
We do not accept applications for single passes.
Will these passes be for individuals or for children of families? (Please only select family passes if they are going to children whose families could not afford admission!)
Individual Passes
Family Passes
If you are a school, what is your school's free/reduced lunch rate? Or are you a title 1 school?
Are you apply on behalf of mental health patients or clients in need of the mental health benefits of nature?
Yes
No
Thank you to the Walmart Foundation for their continued support!
Submit
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