Gilbert House Children's Museum
Inspiring children to learn through creative play!
About
About A.C. Gilbert
Our Purpose
Our People
Employment
Exhibits
Plan Your Visit
Prices and Hours
Visitor Services & Information
Parking/Directions
FAQ
Join
Membership
ACCESS Membership
Gift Cards
Rentals
Party Rentals
Private Event Rentals
Programs
Field Trips
Homeschool Adventures
Summer Camps
Make and Take Storytime
Events
Legacy of Play Day
Gabby’s Dollhouse Meet & Greet
Gilbert House for Grown Ups
Halloween Re-Engineered
Discover The Wonder
“Noon” Year’s Eve
Support
Sponsorship Opportunities
Volunteer
Donation Requests
Oregon’s Cultural Tax Credit
en español
Donate Now
ACCESS Application
ACCESS - English
ACCESS Family Membership:
In addition to completing this application, you will need to submit a copy of an eligibility or coverage notification letter with current dates from one of the organizations listed below. This letter MUST include the name and address of at least one family member and be dated within the past six months.
I am submitting an eligibility/coverage letter from (please select one)
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Section 8/Public Housing
Children's Health Insurance Plan (CHIP), Medicaid, Oregon Health Plan
Food Stamps (SNAP), WIC
Temporary Assistance for Needy Families (TANF), Unemployment
Head Start Preschool Program, Big Brothers Big Sisters of America
Adult Name(s) (Membership includes 2 adults in same household)
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Mailing Address:
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City:
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County:
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State
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Zip Code:
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Email Address:
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Phone:
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Please List Child(ren) Name(s) and Birthdate(s). Your membership includes 2 named adults, and up to 4 children.
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Confidential Survey (Required for Grant Reporting) This survey helps us secure funding for the ACCESS Membership program. Responses are confidential and will not impact your application status.
I understand these terms.
Zip Code:
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Total number of children in your household:
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Please list the ages of each of your children:
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What is your total annual household income, before taxes?
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Race/Ethnicity (Check all that apply):
Hispanic or Latino
White
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Pacific Islander
Other
How did you hear about the ACCESS Membership?
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Why is a Gilbert House Membership important to your family?
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When accepted for membership, you will receive instructions on downloading your e-membership card on your phone. If you need a physical membership card, there will be an additional $5 charge.
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I understand, and will be able to download the membership app
I will need to pay $5 for a physical membership card
Please upload a copy of one of the following eligibility or coverage notification letters with current dates. The letter must include the name and address of at least one family member and be dated within the past six months. Choose one of the following: Section 8/Public Housing; Children's Health Insurance Plan (CHIP), Medicaid, Oregon Health Plan; Free and reduced school Lunch, Food Stamps, WIC documentation; Temporary Assistance for Needy Families (TANF); Big Brothers Big Sisters of America; Head Start Preschool Program; Unemployment.
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Max. file size: 2 MB.
Please allow 2-3 weeks for application processing. Our review will include consideration of family size, annual income, residence address, and your assistance documentation to determine if you are a candidate for our program. You will receive an email/letter either awarding or denying ACCESS membership. If you are awarded a membership, you must bring the printed confirmation letter and your $70 payment to the Museum to activate your membership. The confirmation letter will be valid for two months.
I understand these terms.
About
▼
About A.C. Gilbert
Our Purpose
Our People
Employment
Exhibits
Plan Your Visit
▼
Prices and Hours
Visitor Services & Information
Parking/Directions
FAQ
Join
▼
Membership
ACCESS Membership
Gift Cards
Rentals
▼
Party Rentals
Private Event Rentals
Programs
▼
Field Trips
Homeschool Adventures
Summer Camps
Make and Take Storytime
Events
▼
Legacy of Play Day
Gabby’s Dollhouse Meet & Greet
Gilbert House for Grown Ups
Halloween Re-Engineered
Discover The Wonder
“Noon” Year’s Eve
Support
▼
Sponsorship Opportunities
Volunteer
Donation Requests
Oregon’s Cultural Tax Credit
en español
Donate Now