Zoo Spring Break Camp Registration

$0.00

SKU: SpringBreakCamp

Grades K - 1 are SOLD OUT!

Camp Details:

Takes place April 10 – 14, 2023
Full Day Camp (K – 7): 9AM – 4PM
All camp fees are due upon registration
All camp payments are non-refundable
All registrations must be received at least one week prior to the start of camp

**PLEASE FILL THIS OUT FIRST:**

Racine Zoo Camp Policies and Release Form

(Your child will not be able to attend camp without this filled out and signed)

New for 2023: There will be a $20 administrative fee per child charged for changes of date, so please make sure your date is correct before reserving your space! Thank you for helping us keep our camp affordable!

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 *

Parent Name *

Address *

City / State / Zip Code *

Email *

Home Phone Number *

Spring Break Camp Membership Status *

Spring Break Camp Grade Level *

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 *

For multiple authorized pick-ups, please add commas in between names.

Authorized Pick-Up Relationship *

For multiple authorized pick-ups, please add commas in between relationships.

Did you complete and sign the Camp Policies and Release Form? *

See above in red.

Signature of Parent/Guardian *