Form 1 Museums for All Registration Form

Museums for All Registration Form

Museum Name [required]:

Type of Museum (choose one of the following) [required]

• Arboretum/Botanical Garden

• Art

• Children’s Museum

• General (having two or more significant disciplines)

• Historic Houses/Sites

• History

• Natural History

• Nature Center

• Planetarium

• Science & Technology

• Specialized (limited to a single, distinct subject)

• Zoo/Aquarium

Museum Web Address [required]:

Mailing Address [required]:

Mailing Address (cont’d) [optional]:

City [required]:

State [required]:

ZIP Code [required]:

Contact Name (first) [required]:

Contact Name (last) [required]:

Contact Title [required]:

Contact Email [required]:

Contact Phone Number [required]:

Approximate Annual Operating Budget (choose one of the following) [required]:

• Less than $500,000

• $500,000-$1,000,000

• $1,000,000 – $2,500,000

• $2,500,000 – $5,000,000

• $5,000,000 – $10,000,000

• $10,000,000 - $20,000,000

• More than $20,000,000

Personal information will not be released.

Director/CEO (if different than contact) [optional]:

Director/CEO email [optional]:

Planned per person admission charged for Museums for All visitors ($0-$3 USD) [required]:

Regular admission charged [required]:

Most recent FY (fiscal year) operating budget [optional]:

Total annual attendance (approx.) [optional]:

Describe how Museums for All fits into your institutional commitment to diversity, equity, access, and inclusion. [optional]:

Date your involvement in Museums for All should be publicized [required]: mm/dd/yyyy

Do you plan to offer additional benefits to Museums for All visitors? Please describe. [optional]:

By clicking this box, you acknowledge that you must maintain the baselines as laid out in the Museums for All guidelines to meet the designation of a Museums for All museum. [required]

I agree

By clicking this box, you acknowledge that you must report your museum’s Museums for All attendance figures on a quarterly basis. [required]:

I agree

Please submit a high-resolution, 300 dpi PNG (or JPG if PNG is not available) file of your logo. We also encourage you to share photos for use on the Museums for All website and/or in presentations. Include Museums for All implementation (e.g., staff, signage) or marketing photos showing the museum “in action.” Upload photos and logo files here along with a completed Form.[optional][optional]

[Captcha]