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HomeMy WebLinkAboutSeasonPassForm 2026 POLLOCK COMMUNITY WATER PARK SEASON PASS INFORMATION PASS TYPE (Additional information required below) ☐ Family Pass ☐ Senior (60+) ☐ Adult (18-59) ☐ Youth (3-17) ☐ Infant (0-2) Resident: $155 Non-Resident: $175 Resident: $70 Non-Resident: $90 Resident: $80 Non-Resident: $100 Resident: $70 Non-Resident: $85 Resident: Free Non-Resident: Free HEAD OF HOUSEHOLD INFORMATION _____________________________________________________________________________________ Name: First, Last Phone Number Email _____________________________________________________________________________________________ Address City State Zip EMERGENCY CONTACT INFORMATION _____________________________________________________________________________________ Name/Relation Phone Number Email _____________________________________________________________________________________________ Address City State Zip PASS INFORMATION Please complete the below information for each person requesting a pass. Please remember to include infants in this information. Family Passes include up to 4 members with additional family members charged at $16 per member. _____________________________________________________________________________________ Member 1 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 2 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 3 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs CITY OF OSHKOSH – DEPARTMENT OF PARKS 805 WITZEL AVE, OSHKOSH, WISCONSIN 54902 PHONE: (920) 236-5080 SEASON PASS POLICY: Update 12/2025 _____________________________________________________________________________________ Member 4 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 5 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 6 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 7 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs _____________________________________________________________________________________ Member 8 Name: First, Last Date of Birth Gender _____________________________________________________________________________________________ Comments/Special Needs ______________________________________________________________________________________________________ PAYMENT INFORMATION Payment may be made in person at either the Pollock Community Water Park or the Parks Department Administrative Office vis cash, check or card. If this form is being returned by mail, please include payment and/payment details below. Mail form and payment to: Oshkosh Parks Department 805 Witzel Ave. Oshkosh WI 54902 Payment Type: ☐ Cash ☐ Check ☐ Card (Visa/Mastercard/Discover Card Number: ______________________________________________ Expiration Date: ________________ Billing Zip Code: ______________ CITY OF OSHKOSH – DEPARTMENT OF PARKS 805 WITZEL AVE, OSHKOSH, WISCONSIN 54902 PHONE: (920) 236-5080 SEASON PASS POLICY: Update 12/2025 POLLOCK COMMUNITY WATER PARK POLICY FOR THE PURCHASE OF SEASON PASSES The City of Oshkosh Parks Department shall issue each person involved with the season pass program a pictured, laminated pass for entry into the water park. It is required that pictures are taken before any pass is issued. It is the responsibly of each person involved with the season pass program to review and abide by the Pollock Community Water Park Rules and Regulation. Additionally, he/she will abide by and conform to all ordinances of the City of Oshkosh. Copies of these documents can be found on the city website or may be requested from Parks Department administrative staff. A family pass is limited to all family members who reside at the same address, and who use the household as their permanent address. The initial purchase of a family pass includes four (4) family members. The four (4) members may include: two (2) parents (including step-parents and/or grandparents) and two (2) children; one (1) parent and/or three (3) children; four (4) children, or any combination, thereof. A maximum of two (2) adults will be allowed per family pass (exceptions may be considered). Additional family members (children) may be added to the family pass at a cost of $16 each. Proof of residency shall be required for each family pass member. Extended family or adult children (and their families) living in a parents or family member’s household shall obtain their own individual or family pass. Daycare providers/babysitters are not eligible to be included on a family pass unless they are family members residing at the same address. If any family desires to have a non-family member daycare provider or babysitter involved with accompanying children to the water park, then a separate, individual pass will have to be purchased.