2023 Scarium Tickets - Wednesday, October 25, 2023 Use this form to reserve tickets for Scarium at the Aquarium on Wednesday, October 25th from 4 p.m. to 7 p.m. Thank you for celebrating with us! Name of Group Leader* First Last Phone*Email* Scarium Admission Rates*Children (ages 0-12): FREE for Scarium at the Aquarium Youth (ages 13-17): $16.00 Adults (ages 18+): $20.00 Great Lakes Aquarium Members All individuals named on the Aquarium membership are considered Aquarium members. Family Plus and Individual Plus memberships may include one additional person (of any age) as an Aquarium member for the Scarium event. Member children/youth/adults: FREE Limited Income Access Discounted admission rates are available for adults with a current EBT card or medical assistance card (including Minnesota Care and Wisconsin BadgerCare) and valid photo ID. All other children and adults in their party will also be admitted under the same discounted rate. Guardians (i.e. parents, grandparents, foster parents) of children with medical assistance documentation may use the child’s designation to purchase reduced price tickets or membership for the attending group – even if the guardian(s) themselves are not medical or food assistance recipients. Children (ages 0-12): FREE for Scarium at the Aquarium Youth (ages 13-17): $4.00 Adults (ages 18+): $6.00 Please select an option from the list below. My group is made up of all Aquarium members My group is not covered by an Aquarium membership My group is a mix of members and non-members My group qualifies for the Limited Income Access Rate Membership ID NumberYour membership ID number is listed on your Aquarium membership card. Adult Ticket (ages 18+) - Non-member Rate Quantity Price: $20.00 Quantity Adult Ticket (ages 18+) - Non-member Rate Quantity Price: $20.00 Quantity Adult Ticket (ages 18+) - Member Rate Quantity Price: $0.00 Quantity Adult Ticket (ages 18+) - Member Rate Quantity Price: $0.00 Quantity Youth Ticket (ages 13-17) - Non-member Rate Quantity Price: $16.00 Quantity Youth Ticket (ages 13-17) - Non-member Rate Quantity Price: $16.00 Quantity Youth Ticket (ages 13-17) - Member Rate Quantity Price: $0.00 Quantity Youth Ticket (ages 13-17) - Member Rate Quantity Price: $0.00 Quantity Child Ticket (ages 0-12) - Non-member Rate Quantity Price: $0.00 Quantity Child Ticket (ages 0-12) - Non-member Rate Quantity Price: $0.00 Quantity Child Ticket (ages 0-12) - Member Rate Quantity Price: $0.00 Quantity Child Ticket (ages 0-12) - Member Rate Quantity Price: $0.00 Quantity Child Ticket (ages 0-12) - Limited Income Access Rate Quantity Price: $0.00 Quantity Youth Ticket (ages 13-17) - Limited Income Access Rate Quantity Price: $4.00 Quantity Adult Ticket (ages 13-17) - Limited Income Access Rate Quantity Price: $6.00 Quantity I would like to make an additional donation to Great Lakes Aquarium in the following amount:Proceeds from this event will be used to support animal care at the Aquarium. HiddenTotal Number of TicketsTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Hidden Validation Field
