Children's Museum of Illinois · Gift Membership Form 2024

Is This Membership a Gift? *

Yes

No

Non-Gift Memberships

Not Purchasing this Membership as a Gift for a different family? You can use this form.

CLICK HERE

Gifter (Me) *

First Name

Last Name

Gifter's Phone *

Gifter's Email *

Verify Email *

Where would you like the Membership Card(s) mailed? *

Myself

The Primary Member

Gifter's Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Membership Details

Membership Level (1 year) *

$150 - Family Membership | Two adults and children in the houshold (22)

$175 - Grandparent Membership | One set of Grandparents and all of their grandchildren (33)

$200 - Fun Family Membership | Two adults, children in the household, one caregiver, and up to four grandparents (44)

Renewing Schedule

Continue Renewing until

(mm/dd/yyyy)

Membership Start Date *

(mm/dd/yyyy)

Number of Children *

Registration Information

Primary Member *

First Name

Last Name

Phone *

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Spouse (Secondary Member)

First Name

Last Name

Secondary Member Phone

Secondary Member Email

Verify Email

Fun Family Additional Members

Additional Member 1

First Name

Last Name

Additional Member 1 Phone

Additional Member 1 Email

Verify Email

Additional Member 2

First Name

Last Name

Additional Member 2 Phone

Additional Member 2 Email

Verify Email

Additional Member 3

First Name

Last Name

Additional Member 3 Phone

Additional Member 3 Email

Verify Email

Additional Member 4

First Name

Last Name

Additional Member 4 Phone

Additional Member 4 Email

Verify Email

Notes / Questions / Gift Memo