Kentuckiana Youth Program Request for Free Admission Tickets
All requests must be received 1 MONTH IN ADVANCE of your visit date.
About Your Organization
Program/Organization Name
*
Program/Organization Address. (Please note that organizations must be located in Kentucky or Southern Indiana.)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the organization a registered 501c3 nonprofit?
*
Yes
No
If "No" please explain
Has your organization received free admission tickets to the Muhammad Ali Center in the past 12 months.
*
Yes
No
If yes, please explain:
Organization's Mission Statement.
*
Organization Website
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Requested Visit Date (please note that the Center is closed on Mondays and Tuesdays)
*
-
Month
-
Day
Year
Date
Number of Tickets (max 50)
*
I understand that completing this form does not guarantee that my organization will receive free admission tickets. I understand that the Muhammad Ali Center will consider this request and will respond with an answer within a timely manner. I understand that if my organization receives free admission tickets, they must be used on the assigned date.
*
Submit
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