School's Out Camp

Camper's First and Last Name *

Date of birth *

Age Group *

Parent or Guardian First and Last Name *

Address *

Email *

Parent Cell/Work/Other Phone Number *

Camper Allergies *

Please list any camper medications, disabilities, restrictions, or socioemotional needs.

Emergency Contact Name *

in case parent/guardian cannot be reached:

Emergency Contact Phone *

Emergency Contact Relationship *

Member Name and Expiration Date

Is there anything else you would like us to know about your camper?

I acknowledge that I will be sent a waiver via e-mail that must be complete before the first day of camp. *

You can find the link to this release form above in green.

Signature of Parent/Guardian *

Thursday, February 12: JOURNEY TO THE POLES

After-Camp Care (4:00pm-6:00pm), +$6.00

Before Camp Care (7:30am-9:00am), +$5.00

Single-day Camp (Member), +$60.00

Single-day Camp (Non-member), +$60.00

Friday, February 13: OCEAN EXPLORERS

After-Camp Care (4:00pm-6:00pm), +$6.00

Before Camp Care (7:30am-9:00am), +$5.00

Single-day Camp (Member), +$56.00

Single-day Camp (Non-member), +$60.00

Tuesday, March 10: AMPHIBIANS IN ACTION

After-Camp Care (4:00pm-6:00pm), +$6.00

Before Camp Care (7:30am-9:00am), +$5.00

Single-day Camp (Member), +$56.00

Single-day Camp (Non-member), +$60.00

Thursday, April 2: WE LOVE THE EARTH

After-Camp Care (4:00pm-6:00pm), +$6.00

Before Camp Care (7:30am-9:00am), +$5.00

Single-day Camp (Member), +$56.00

Single-day Camp (Non-member), +$60.00

Need an activity for a day off school? Join the Racine Zoo for School's Out Day Camp!