Summer Camp Registration

*We cannot accept any payments for camp spots until March 24th as this is when registration opens!

Please complete and submit this form before calling to pay for camp. This form is to save time during the registration process and does not guarantee your child a spot in any camps. Camp spots will be given on a first come first serve basis when you pay for the camp. After you submit this form, please call Rachael at 785-368-9137. Education office hours are Monday-Friday from 9AM to 4:30 PM. If you call on a weekend or when someone is unavailable to take your call, please leave a message. Alternately, please e-mail Rachael at rrost@topeka.org to set up payment. Additionally, you must sign a medical release and photo release sheet for your child on the first day of camp.

Cancellations:  If you cancel your camp registration 8 or more days before the start date, the Zoo will refund the registration fee, except for $20.  The Zoo will not refund any registration fees if cancellation occurs within 7 days of the start date.

Child's Name

Child's Age

Sex
 Female Male

Select which camps you would like to sign this child up for

June 16-20 The Untouchables - FULL: Registration Closed
June 23-27 In and Out - FULL: Registration Closed
No camp Jun 30 - July 4
July 7-11 Zoo Detectives - FULL: Registration Closed
July 14-18 FULL: Registration Closed
July 21-25 FULL: Registration Closed
July 28 - Aug 1: Registration Closed
 Aug 4-8 Aventuras de habitat

FOTZ member?

 yes no

Address (please include City and Zip code)

Parent Name

E-mail address

phone number (required)

phone number 2

Emergency contact 1

Name

phone number

relationship

Emergency contact 2

Name

Phone number

Relationship

I consent for the following individuals to pick up my child

Does your child require a reasonable accommodation in order to participate in the program? Requests must be made 2 weeks in advance by filling out a Special Needs Statement and Request Form.
 Yes No

Please list any allergies or medications that your child has

Filling out this form does not guarantee your child a spot in Camp. You must call 785.368.9137 or bring cash or check to the zoo in order to guarantee your spot in camp.

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