PLAY! Pass Form

STEP ONE - Please fill out form.

* Indicates required field

Pass Type *

1st Adult Name *

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Last

2nd Adult Name *

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Last

Address *

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City

State

Zip Code

Country

Phone Number *

Email *

Pass Member #1 *

Birth Year (if under 18) *

Pass Member #2 *

Birth Year (if under 18) *

Pass Member #3 *

Birth Year (if under 18) *

Pass Member #4 *

Birth Year (if under 18) *

Please acknowledge Gift Membership from: *

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Last

CHOM E-Newsletter *

Please add me to the CHOM E-Newsletter

Children’s Hands-On Museum of Tuscaloosa
2213 University Blvd.
Tuscaloosa, AL

For requests for photos, interviews, survey, video – click here

Contact Info

Ph: (205) 349-4235

Fax: (205) 349-4276

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