2024 SPARK! Dallas Memberships Enrollment Form

SPARK! Dallas Memberships Enrollment Form
For more information about membership levels, please visit www.sparkdallas.org/memberships

$85 Dual Membership
1 Adult and 1 Child

Free Admission for Members

$12 Reduced Guest Admission Rate
2 Free Guest Passes per Year
20% SPARK! Camp Discount

$135 Family Membership
2 Adults and up to 5 Children

Free Admission for Members

$12 Reduced Guest Admission Rate
2 Free Guest Passes per Year
20% SPARK! Camp Discount
$50 Birthday Party Discount
Choose a Membership Option Below:

Memberships are valid for one year starting from purchase date.
Membership Ownership Type:*

Membership Buyer Information

Details for Giftee will be on next pages. Please enter YOUR information below.
Your Name:

Your First Name Your Last Name
Your E-mail Address:*
example@example.com
Your Phone Number:*
(xxx) xxx-xxxx
Your Zip Code:*

Street Address

Street Address Line 2

City

#####
Age Verification - Please enter your birthday:*

MonthDayYear
mm0dd/yyyy
Membership e-Delivery Options:*
When would you like this to be sent to your Giftee?
DateTime

Additional Member Information

Please provide the names of additional adults & all children included in this membership. Note that this membership and all associated benefits are only entitled to the adults and children named in this document.
Adult #2 Name*
Type a question

Waive Benefit - Adult #2
Adult #3 Name*
Type a question

Waive Benefit - Adult #3
I do not wish to include any children in this membership.
Child #1 Name*
Child #1 Birthday*

MonthDayYear
Child #2 Name
Child #2 Birthday

MonthDayYear
Child #3 Name
Child #3 Birthday

MonthDayYear
Child #4 Name
Child #4 Birthday

MonthDayYear
Child #5 Name
Child #5 Birthday

MonthDayYear
If you have more than four children residing in your household that you wish to add to your membership, please email memberships@sparkdallas.org. All memberships are nonrefundable and nontransferable and active at the time of purchase.

This membership and associated benefits are only entitled to the adults and children named in this document.

Choose your Payment Method
Payment Method*
Checks should be made payable to SPARK! and include the membership level in the memo field. Checks can be delivered to the SPARK! office or mailed to:

SPARK!
Attn. Memberships
1409 Botham Jean Blvd., Suite 004
Dallas, TX 75215
To pay via credit/debit card, please select your membership level below. You will be re-directed to a PayPal payment page once form is submitted to complete your payment.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
I agree to the following terms of this membership:*

This membership and associated benefits are entitled only to the adults and children named in this document. Membership card must be presented in order to receive free admission. Valid ID may be requested.During SPARK! Family Days, all children must be accompanied by an adult.
Print Name*
Date*

MonthDayYear

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Enter coupon

SPARK! Dallas Memberships Enrollment Form