Little Tykes Ed-Ventures Registration Form Early

Little Tykes Ed-Ventures Registration

I hereby allow my child to take part in the Dakota Zoo Day Camp program on the grounds of the Dakota Zoo in Bismarck, ND. I further agree not to hold the Dakota Zoo, zoo staff, or any zoo volunteers liable for any injuries that might occur during this program.

I also understand and agree that I will be available, if for any reason, the need arises for my child to be picked up.

Full Name of Participant for Sneaky Snow Leopards^*

Age^*

First Name - Guardian/Parent^*

Last Name - Guardian/Parent^*

Address^*

City^*

State^*

Zip Code^*

Emergency Phone^*

Email^*

Special Info (Allegeries, Medical concerns)^*

Zoo Member^*

Zoo Membership #

Additional Donation ##.##

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