1001 North Park Drive Brandywine Park Wilmington, Delaware 19802
Information:
(302) 571-7747
Zoo Day Camp Registration
Please complete the form and print it out. Then either fax it back to us with credit card information OR mail with check or credit card information. Please make checks payable to Delaware Zoological Society.
Fax Number: 302.571.7787
Brandywine Zoo
1001 North Park Drive
Wilmington, DE 19802
Child's Name:
Sex: M F
Age:
Date of Birth: (Proof may be required)
Special Needs: (please explain)
Parent/Guardian Name:
Mailing Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Alternate Phone:
Parent/Guardian Email:
Emergency Contact, relation:
Phone:
Please confirm my child for the program indicated below:
Holi-Zoo Day Camp! - for ages 4-13 - Saturday, December 5: 8:00am - 4:00pm Fee: $30 per child/$25 per child for Delaware Zoological Society Members.
Martin Luther King Day Camp - for ages 4-13 - Monday, January 18: 8:00am - 4:00pm Fee: $30 per child/$25 per child for Delaware Zoological Society Members.
Presidents Day Camp - for ages 4-13 - Monday, February 15: 8:00am - 4:00pm Fee: $30 per child/$25 per child for Delaware Zoological Society Members.
Yes, please enroll my child in Free Aftercare, until 5:30pm
PAYMENT OPTIONS
Yes, I am a Member of the Delaware Zoological Society.
Enclosed is my payment for MiniCamp/ZooCamp, a total fee of
Yes, I would like to become a Family Member of the Delaware Zoological
Society. My Membership Application is enclosed with Membership fee of and MiniCamp/ZooCamp fee of
Enclosed is my Non-member Fee of
CREDIT CARD PAYMENT
Check
Visa Mastercard
Card # Exp. date
QUESTIONS? Please Email or
Call 302-571-7850, ext. 209.
