Zoo Spring Break Camp Registration

$0.00

SKU: SpringBreakCamp

* Please print this out and bring it with you on the first day of camp: Camp Policies and Release Form

Please Note: No after camp childcare is offered for half-day morning sessions.

Questions about registration can be directed to the Education Department at 262.636.9580 or education@racinezoo.org.

List price: $0.00

Price: $0.00

Child's First Name *

Child's Last Name *

Date of birth *

Gender *

Female

Male

Parents Name *

Address *

City / State / Zip Code *

Email *

Home Phone Number *

Spring Break Camp Grade Level *

Spring Break Camp Session *

Childcare Options

Member's Name

Membership Expiration Date

Allergies

Prescribed Medications

Physical/Mental/Emotional Special Needs

Health Restrictions or Developmental Conditions

Other

Parent/Guardian Cell Phone or Work Number *

Emergency Contact Name *

in case parent/guardian cannot be reached:

Emergency Contact Relationship *

Emergency Contact Phone *

Authorized Pick Up Name *

Authorized Pick Up Relationship *

Signature of Parent/Guardian *

Racine Zoological Society