Alaska Zoo
2007-2008 Winter Adventure Camps
In-service - Winter Break - Spring Break
For Ages 9-12
Registration begins on September 25th 2007 and ends when camps are full.

For Registration Questions: Call (907) 346-2858 or email klarson@alaskazoo.org

 

 Please select the events for your registration:
* Required Field

NameAgeDatesTimesFee
Non Passholders		Fee
Passholders
  

Registration Information:
Parent First Name: * Child First Name: *
Parent Last Name: * Child Last Name: *
Mailing Address: *    
City: *    
State: *    
Zip: *    
Current Age of Child: * Age on Date of Camp: *
Home Phone: * Work Phone:
Cell Phone:    
Email Address: *

(for emailed camp confirmation letter)
Are you a Current Passholder?:   Yes      No    
If yes, Passholder Number:  

To receive passholder discount, you must submit your pass number. We will check to verify that you are a current passholder.
   
List the Names of the person(s) authorized to pickup your child:

*

Emergency Contact Info:

In case of emergency, please notify (if you cannot be reached):

    
Name: *    
Relationship: *    
Phone: *    
       

Physician to be called in an emergency:

    
Name: *    
Phone: *    

Medical Information:

Please complete the following.  If not applicable, please type "none".
Physical limitations: *

* Note: We welcome attendees of all physical abilities.  The above information is to assist us with program and staff planning.
Allergies (however minor): *
Medications (please describe): *

* Note: All medications brought with the child must be mentioned to staff upon arrival.  Zoo staff will not administer medications.
Dietary Restrictions: *
Other Important information:

 
  

Zoo Release of Liability
I, the parent or legal guardian of the camp participant, do agree to assume all risk associated with participation in the Alaska Zoo Adventure Camps.  I agree to advance release of the Alaska Zoo organization, board, staff and volunteers from any and all liability for property damage, personal injury or death.

I have read and agree to the release of liability policy. By accepting these terms through on-line submission, I am agreeing to the terms of this release.
 I Agree     I Disagree
  

Payment Information
Your camp spot is reserved upon submission of this completed form, however we cannot process payment online at this time.  Please submit your payment in the following ways:

If you wish to pay by CREDIT CARD, call your payment in to our zoo office at 346-2858
If you wish to pay by CASH or CHECK, mail your payment to the zoo at:
The Alaska Zoo c/o Camps
4731 O'Malley Road
Anchorage, AK  99507
You may also drop off your payment with a copy of the completed form at admissions at the above location. Payment will not be processed at admissions. Receipt sent by mail upon request.

Payments must be submitted to the zoo office within 5 Business Days of submitting this form. 

 Payment Method: 

Your confirming Email will Provide a Total of the Amount Due
 

Refund Policy
Cancellations must be made in advance of 5 business days before the program date for refunds.  Those made less than 5 business days before a program will result in no refund.  If a program is cancelled due to enrollment, a full refund will be given.

I have read and agree to the payment and refund policy terms:
 I Agree     I Disagree