Free First-Time Parent Membership request form

Thank you for your interest in Discovery Museum's Free First-Time Parent Membership! This membership is for new, first-time parents of a child (or children, if twins or other multiples) under 18 months.

Please complete the form below and our membership manager will contact you to confirm your membership. Your membership card will be delivered as a digital card via the email address you provide below.

Please note this membership is ONLY for parents whose first child under 18 months. Please do not apply if you have an older child.

Parent first name

This must be a parent or legal guardian.

Parent last name

Parent email address

Confirm email

Parent phone number

Preferred contact method

Phone

No Preference

Mailing Address

City/Town

State/Province

ZIP/Postal Code

(Optional) Secondary adult member FIRST name (not the child's name)

This can be a parent, grandparent, other adult family member, or caregiver. Children's names should NOT be listed.

(Optional) Secondary adult member LAST name (not the child's name)

This can be a parent, grandparent, other adult family member, or caregiver. Children's names should NOT be listed.

(Optional) Alternate/3rd adult member LAST name (not the child's name). Note that only two adults may visit with a child at a time with this membership.

This can be a parent, grandparent, other adult family member, or caregiver. Children's names should NOT be listed.

(Optional) Alternate/3rd adult member FIRST name (not the child's name). Note that only two adults may visit with a child at a time with this membership.

This can be a parent, grandparent, other adult family member, or caregiver. Children's names should NOT be listed.

Month and year of child's birthday

Month and year of child's birthday: Year

Month and year of child's birthday: Month

How did you hear about the First-Time Parent Membership program?

Do you have any questions or comments?