Chicago Children's Theatre -

Gift Membership Now For Only $55!

2007-2008 Family Gift Membership Application Form

This family membership will entitle the recipients to discounts on tickets and merchandise, as well as a host of other exclusive benefits. Please complete the information below, and the lucky family will receive their official Family Stage Pass in 6-8 weeks.

Gift Membership Form

Your Information
First Name:	Last Name:

Email:

Recipient Grownup #1
First Name:	Last Name:

E-Mail:

Recipient Grownup #2 (optional)
First Name:	Last Name:

Child #1
Name:	Birthday:
Child #2 (optional)
Name:	Birthday:
Child #3 (optional)
Name:	Birthday:
Child #4 (optional)
Name:	Birthday:

Recipient Contact Information
Phone:

Address:

Address 2:

City:

State:	Zip: