Rep. Hirschauer's Museum Pass Sign-Up Form

Email*
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First Name*
Last Name*
Address*

Street Address

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Phone Number*
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Total Number of People in Group (up to 4)*

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Total Number of Adults (Ages 12+) in Group*

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Total Number of Children (Ages 3-11) in Group*

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Date of Visit (please allow a minimum of 1 week for processing)*

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Date
Museum(s) to Visit (limit 2)*

Shedd Aquarium ($5 transaction fee for group will apply)Adler PlanetariumThe Art Institute of ChicagoBrookfield Zoo/CZSChicago Academy of Science/Peggy Notebaert Nature MuseumChicago Botanic GardenChicago Children's MuseumChicago History MuseumDuSable Black History Museum and Education CenterThe Field MuseumIllinois Holocaust Museum and Education CenterGriffin Museum of Science and IndustryLincoln Park ZooMuseum of Contemporary ArtNational Museum of Mexican ArtNational Museum of Puerto Rican Arts and Culture
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Newsletter sign up - May we add your email to our list to receive occasional emails with notices of programs like this one?*

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