Register for EdZoocation

Register online or download the EdZoocation form. Once we have received your registration we will contact you to confirm your placement in a class and make payment arrangements.

All classes meet in the Discovery Center Classroom.

*Child's Name:	*Birth Date:	Date and time
*Guardian's Name:	*Member?	YesNo
*Address:

*City:

*State:

*Zip:

*Home Phone:	() -Second partThird part	Cell:	() -Second partThird part	Work:	() -Second partThird part
*Email:

*Alternate Contact:
*Relationship to Child:	*Phone:	() -Second partThird part
Student Allergies or Limitations:

LEVEL**	CLASS	DATE(S)	TIME	COST








TOTAL COST:

**KZ - KinderZoo ages 4-5
ZK - ZooKids ages 6-7
P - Planeteers ages 8-10
CN - Camp Niabi ages 11-13
Zoo-U - Zoo-Niversity ages 11-13

*Security Code:

Answer the question below:

Is six = one ? (true/false)

Additional Information

Parents and siblings must pay Zoo admission in order to wait in the Zoo for a child to complete their class.
Children will only be released to the person who brought them unless we have received permission in writing to send them with another person.
No refund will be given if you cancel your registration less than one week prior to the class date.