Depot Membership Application
Becoming a member provides you with access to the Depot's eclectic assortment of reusable materials. Your membership supports Child Creativity Lab's programs that help foster children's creativity, problem-solving, and critical thinking skills. Thank you for your membership.
Last Name
*
First Name
*
School/Organization Name
Other Authorized Users:
List anyone you authorize to use your membership units (co-workers, friends, family members).
Membership Date
/
Month
/
Day
Year
Date
Address
*
Street Address
City
*
Zip Code
*
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
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Membership Donation Amount
*
Please Select
$25
$55
$105
$25=20 units, $55=55 units, $125=120 units
Material Units
*
Please Select
20 units
55 units
120 units
20 units = $25, 55 units = $55, 120 units = $105
Membership balance is good for one year from date of application.
Would you like to make an additional donation?
*
Please Select
$20
$25
$50
$100
No, thank you
To foster the next generation of critical thinkers, problem solvers, innovators, leaders and environmental stewards through hands-on creativity-enhancing STEAM exploration.
Would you like to receive our newsletter?
*
Please Select
Yes
No
We send a newsletter about every other month.
Would you like someone to contact you about CCL workshops?
*
Please Select
Yes
No
CCL can bring student STEAM workshops or educator professional development workshops to your location.
Submit
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