Ardastra Gardens Mid-Term Camp registration
We are thrilled to have your child participate in "Our Wild and Wacky World" Camp. Please complete the following registration form to reserve a place in camp for your child. Please complete a registration form for each child attending camp.
Email address *
Camp Participant's Name *
Your answer
Participant's Date of Birth *
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Participant's school
Your answer
Parent/Guardian Name & relationship *
Your answer
Emergency contact Name & phone number *
Your answer
Emergency contact 2 - Name & phone number
Your answer
Alternate Parent/Guardian email address
Your answer
Please select the camp package(s) you would like, please note packages must be paid in full the first day your child attends camp to receive the discounted price: *
Required
Please select the days your child will attend camp
Please select the days you would like to order the camp lunch package for $5 per day
Are you a current Zoo Member?
Does the participant have any medical or behavioral conditions? *
If yes, please explain
Your answer
Does the participant have to take any medication while at camp? *
If yes, please explain
Your answer
Doctor's Name and Contact phone number *
Your answer
Liability Waiver
This is to certify that I am the parent or legal guardian for the child listed on this form and I willingly allow my child to participate in Ardastra Gardens’ mid-term Zoo Camp. I hereby release Ardastra Gardens, Zoo and Conservation Centre from liability of personal injury or sickness that may incur to my child/children during this time. I understand that if I do not agree, Ardastra Gardens, Zoo and Conservation Centre has the right to refuse entry to my child for mid-term break camp. *
Photo/Video Release
I hereby give my consent for Ardastra Gardens, Zoo & Conservation Centre to use my child's photograph or likeness, or video, in its publications, including its website or electronic marketing. I release Ardastra Gardens, Zoo & Conservation Centre from any expectation of confidentiality for my child and myself and attest that I am the parent or legal guardian of the child listed on this form. *
How did you hear about Zoo Camp? *
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