Charity Name
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Charitable registration number (i.e. 119075505RR0001):
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Address:
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City:
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Postal Code:
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Contact Name:
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Contact Title:
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Contact Email:
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Contact Phone:
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How many children does your organization serve?
Please provide the number per age category. This dictates how tickets are allocated.
0-3 Years
4-5 Years
6-8 Years
9-12 Years
13-18 Years
Please briefly explain how your organization supports children:
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Please select which passes you are interested in receiving:
Playland One-Day Admission Passes
Each pass includes admission to Playland and access to over 30 rides and attractions on any one day during the Playland regular season, May to September, except during the PNE Fair. Parking and special attractions are not included.
PNE Fair Gate Admission Passes
Each pass includes admission on any one day to the PNE Fair in August/September. Fair Gate Admission does not include access to Playland rides.
Fright Night Passes (13-18 years of age)
Each pass includes admission to Fright Nights and access to numberous rides and haunted houses, in October. Warning: Not recommended for people with sensitivity to strobe lighting.
PASS USE AGREEMENT
I agree to donate any/all passes donated by the PNE to the children served by the charity ONLY.
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I understand that passes are not to be sold, exchanged, or used for any other purposes.
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I understand misuse of passes will result in loss of eligibility for any future pass distributions.
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