Cuyahoga Valley Scenic Railroad

Cuyahoga Valley Scenic Railroad

MEMBERSHIP FORM
Cuyahoga DD Family Supports Program (FSP) Funding
PLEASE READ BEFORE REQUESTING A MEMBERSHIP, AS MEMBERSHIPS CANNOT BE REFUNDED:

Temporary Operations Suspension. March 8 – May 2

CVSR is proactively dedicating the next two months to make substantial upgrades to safety and operating procedures. These precautionary measures will further ensure the safety of our passengers, volunteers, and staff. Tickets remain on sale for all events scheduled May through July.

To dedicate focused attention to these elaborate and complex initiatives, CVSR will temporarily suspend passenger trains during the next two months.
Individual Receiving FSP funding
First Name of Child/Individual*
Last Name of Child/Individual*
Date of Birth*

MonthDayYear
Date
Date of Birth

YearMonthDay
Date
xxAre there other individuals in your household receiving FSP services?*

YesNo
Are there other individuals in your household receiving FSP services?*

YesNo
xxDo you want the cost of this membership to be split up amongst multiple individuals receiving FSP services?*

YesNo
Do you want the cost of this membership to be split up amongst multiple individuals receiving FSP services?*

YesNo
Please list all the FSP individuals whose FSP funding is to be used towards this membership, and the amount for each.*
Membership type:*

Companion - $150
*Benefits include: Complimentary subscription to the CVSR members-only On Track e-newsletter. | 20% discount on concessions and CVSR merchandise from January-October. Onboard purchases only. Excludes alcohol. | 2 complimentary coach roundtrip tickets per day aboard the National Park Scenic Excursions. Subject to daily availability. | Name recognition in CVSR Annual Report. | Early access to purchase 8 tickets to the North Pole Adventure.
Please choose a membership type:*

Companion - $150Family - $300
Companion - $150 Benefits include: 20% discount on concessions and CVSR merchandise. Excludes alcohol | 20% discount on National Park Scenic tickets after package has been used | 20% discount on Explorer Passes | Early access to purchase tickets to Dining & Drinks, Entertainment and Family Fun Loop excursions | Early access to purchase 8 tickets to North Pole Adventure™ | 20 National Park Scenic coach tickets. Subject to availability.

Family - $300 Benefits include: 20% discount on concessions and CVSR merchandise. Excludes alcohol | 20% discount on National Park Scenic tickets after package has been used | 20% discount on Explorer Passes | Early access to purchase tickets to Dining & Drinks, Entertainment and Family Fun Loop excursions | Early access to purchase 12 tickets to North Pole Adventure™ | 36 National Park Scenic coach tickets. Subject to availability | Exclusive Invitation to Behind the Scenes event.
Parent/Guardian*

Please select PrefixFirst NameLast Name
E-mail*

Confirmation EmailPLEASE ENTER A VALID EMAIL - A PURCHASE CONFIRMATION WILL BE SENT TO THIS EMAIL ADDRESS
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership changes/cancellations:*

I understand that once my membership has been purchased, I CANNOT change or cancel my membership request.
Signature*

Clear
Submission Date*

YearMonthDay
Should be Empty:

Cuyahoga Valley Scenic Railroad

Cuyahoga DD Family Supports Program (FSP) Funding

Individual Receiving FSP funding