ADTR - Additional Dependent Ticket Request 2026

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This field is for validation purposes and should be left unchanged.

Honda Associate Name(Required)

First Last

Associate Number(Required)

I confirm I am a Honda Associate:(Required)

YES! And I know these individuals are not on my Honda benefits but are eligible dependents.

NO

Honda Company(Required)

HDMA

AHM

HTA

List the Plant or Onsite Office Location where you work(Required)

Phone(Required)

Email(Required)

Enter Email Confirm Email

Event:(Required)

Ohio/Indiana - Kings Island

Georgia/Alabama - Six Flags

N./S. Carolinas - Carrowinds

Check below for your reason for using the dependent(s) request form:(Required)

Honda eligible dependents are determined by eligibility for Honda benefits. If they are not eligible you will need to purchase a guest ticket.

STEP CHILDREN OR FOSTER CHILD(REN) (AGE 25 and younger)

FOREIGN EXCHANGE STUDENT

EXTENDED FAMILY YOU HAVE LEGAL CUSTODY OF (AGE 25 AND YOUNGER)

EXPATRIATE/ASSOCIATE ON ASSIGNMENT WHOSE SPOUSE AND/OR DEPENDENT(S) WILL BE ATTENDING WITHOUT THE ASSOCIATE

ELIGIBLE DEPENDENT(S) COVERED OUTSIDE OF HONDA’S BENEFIT COVERAGE 

List the NAMES + AGES + RELATION OF EACH ADDITIONAL DEPENDENT -NOT LISTED ON YOUR HONDA BENEFITS) YOU ARE REQUESTING TICKETS FOR(Required)

Why are you completing this form:(Required)