Reduced Fee Questionnaire

The following questionnaire is for Circle of Security and Children in Between.

Please answer the following questions regarding your household circumstances to be considered for a reduced fee for Families First Children’s Museum. Clients who qualify at 150% or less of Federal Poverty Level will qualify for a reduced fee. More information on Federal Poverty Level guidelines can be found at: https://aspe.hhs.gov/poverty-guidelines

Reduced Fee Questionnaire

  • (Please include income if one of your family members is contributing through a job elsewhere)
  • By entering your name above, you are signing that all the information in this form is true and correct. (Please Sign Name & Date)