EmailMe Form - Zoo Club(Grades 10-12) July 1-3

Zoo Club(Grades 10-12) July 1-3

Zoo Club is a 3 day camp for high school students entering 10th - 12th grade in the fall of 2024. The day begins at 9:00 am and pickup is at 4:00 pm.

Campers will need to bring a sack lunch and a water bottle. We will provide snacks.

The camp fee is $210 for the 3 days payable upon registration, which includes a non-refundable $50 deposit. Refunds will be given up to three weeks prior to your camp start date.

Due to staffing shortages, we will not be offering aftercare.

If more than one child will be attending camp, please register and pay for each separately.

Camper's Name *
First Last
Birthdate *
MM / DD / YYYY
Grade *
Entering in the fall of 2024
Parent's Name *
First Last
Phone *
### - ### - ####
Alternate Phone (if applicable)
### - ### - ####
Email *

Confirm
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
ONLY if different from parent listed above, please enter name and email of person who should receive camp information from the Camp Director the week before camp begins. This would normally be the person dropping off the child each day.
Name of person to receive camp information:
First Last
Email

Confirm
Emergency and Medical Information
In case of emergency, we will try to reach you on the first or alternate phone number you provided above. Please list up to two additional people and their numbers to contact in case you cannot be reached in an emergency situation.

There will be a first aid form to sign on the first day of camp.
Emergency contact name and phone number *
Emergency contact name and phone number
List any medication your child is taking. (Any medicines brought to camp must be in their original container.) *
Otherwise, enter "none".
Does your child have any allergies, physical limitations or other special needs? *
If so, please list or explain. Otherwise, enter "none".
Health Insurance Carrier *
Group/Policy Number *
Physician's name and phone number *
Are camper's immunizations up to date? *
Yes
No
Photo Permission *
Yes
No
The Creature Conservancy staff will be taking photographs of camp activities that may be used in promotional materials. I hereby grant permission for my child's image to be included in camp photographs.
How did you hear about us?
Please let us know whether you learned about our Zoo Camps through local media, from friends, from your child's school, or elsewhere, or if this is a returning camper. Thank you!
Any additional information you'd like to share.
Leave blank if there's nothing to add. We look forward to this upcoming camp season! :)

Emergency and Medical Information