Zoo Knoxville s Wildly Fun Zoo Camp 2016
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1 Zoo Knoxville s Wildly Fun Zoo Camp 2016 Cost: Zoo Knoxville Members: $155; registration starts 3/28 Non-members: $165; registration starts 4/4 Details: Monday Friday each week 9:00am to 3:00pm for all age groups and camps Bring a sack lunch and snacks, Drinks will be provided. All camps are designed to be age-appropriate, so please do not request to enroll children in other age categories including older or younger siblings. Children with special needs may require a personal chaperone to be provided. Come to up to four camps. All camps are held at Zoo Knoxville rain or shine. Programs fill quickly and are on a first-come, first-serve basis. Registration fees are non-refundable unless the program is canceled by Zoo Knoxville. Advanced registration is required. Member registration begins March 28. Non-member registration begins April 4. To register, please fill out the registration and other forms below and send the forms and payment by mail, fax or . Your child will not be registered until all forms and full payment are received. No phone registrations, please. A separate registration packet should be filled out for each camper. If you have questions, please contact zkfamily@zooknoxville.org. 4-5 Year-Olds Where the Wild things are! Explore the wild in the zoo and the wild in you. June 13 th - 17 th July 18 th -22 nd They should put me in a zoo! Discover zoo animals and create new animals from your imagination. June 27 th -July 1 st July 25 th -29 th 6-7 Year Olds Oh the Places you will go! Have a zoo safari adventure exploring animal neighborhoods and discovering how they live together. June 6 th -10 th June 20 th -24 th July 18 th -22 nd Magically Fun Science Science becomes magical in this hands-on camp of wild experiments. June 13 th -17 th July 4 th 8 th
2 Wildly Fun Gaming Adventure Play like animals, learning and creating new games. June 27 th - July 1 st July 11 th - 15 th July 25 th - 29 th 8-10 Year Olds Wildly Mad Scientist Discover forces of nature with wild and fun experiments. June 6 th -10 th June 27 th -July 1 st July 11 th -15 th Wildest Dreams Create toys to help animal s dreams come true while encouraging their wild side and yours. June 13 th -17 th July 4 th - 8 th July 18 th -22 nd Nature s Engineers Use nature as your inspiration to create new inventions. June 20 th - 24 th July 25 th - 29 th Years Old Keepers of the Wild Discover our relationship with wildlife and become a conservation leader by sharing your passion for wildlife with others. June 6 th -10 th July 11 th -15 th The Fun Awakens Discover what it takes to keep animals happy and what it takes to be a zoo keeper. June 20 th -24 th July 4 th -8 th
3 Camper s Name Parent/Gaurdian s name: Zoo Camp Registration Form Please fill out a separate form for each child Age during camp Cell number: Home phone: Work phone: (please circle the phone number that is best to reach you at during camp) address (please print clearly): Would you like to receive s about future educational programming? Yes Mailing address: City State Zip Zoo Knoxville member? Yes No Membership number: Expiration Camp Week (circle week(s) requesting) June 6 th 8 th June 13 th 17 th June 20 th 24 th June 27 th July 1 st No Age groups available each week (choose based on age) July 4 th July 8 th 6-7 yr 8-10 yr July 11 th July 15 th 6-7 yr yr July 18 th 22 nd 8-10 yr July 25 th July 29 th 6-7 yr 8-10 yr Is there anything that we should know about your camper that will help him/her have a great week at camp? Fees: Non-members: $165/week Members: $155/week Total payment: Payment Type: Check (made out to Zoo Knoxville) Credit Card Credit card number: Authorization code: Signature: Zip code of billing address: Expiration date: Credit card transactions are processed on a Square. Would you like Square to send you a receipt? Yes No If yes, by text or ? Text We are not able to offer refunds unless the camp is cancelled by Zoo Knoxville. Please complete all of the forms in this packet and mail, fax or with your payment. If ing, please do not include your credit card number. We will call you to get your credit card information. Your child will not be registered until all forms and complete payment are received. Registration is first-come, first served. A confirmation will be sent by or mail (if no address). If the camp requested is full, we will contact you with options. If you do not hear from us in 5 work days, please call and press 8. Zoo Camp Registration Fax: ZKFamily@zooknoxville.org Zoo Knoxville 866 is a toll-free number 3500 Knoxville Zoo Dr. Knoxville, TN No phone registrations, please.
4 MEDICAL RELEASE FORM Child s Name Age Name of Parent/Guardian All Phone #(s) Street Address City Zip In case of emergency when you cannot be contacted, list the name and phone number of the person(s) to be called Name Phone # Relationship Name Phone # Relationship Doctor s Name Phone # Allergies (drugs, foods, insect bites, etc.) Current medication and reason(s) for taking Does your child have a diagnosis, if so what is that In case of emergency if you have a hospital preference please list I authorize and direct Zoo Knoxville (zoo) to call a doctor or other medical personnel and to obtain or provide such other medical services as the zoo, in its sole discretion, deems necessary or appropriate in the event of an accident or sickness affecting my child. I shall be solely responsible for paying all expenses incurred with respect to any such accident or sickness. I understand that the group will be interacting with animals, participating in walking hikes and tours and games. Except as set forth above, I certify that my child is in good health and can participate in all normal activities of the group. I understand that reasonable measures will be taken to safeguard the health and safety of the children and that the zoo will notify me as soon as reasonably possible in case of any emergency affecting my child. However, in the event that an accident or sickness occurs concerning my child, I will hold harmless and release the zoo, the Board of Directors, the staff of Zoo Knoxville and the City of Knoxville from all liability concerning such accident or sickness. Parent/Guardian Signature Date PHOTO RELEASE I hereby grant permission to Zoo Knoxville to use photographs of me and/or my child under 18 years of age for publicity and promotional purposes. Print Name Signature Print Child s Name Date
5 Zoo Camper Pick Up Permission Form Zoo Camper s Name (Please print.) Date of Camp Age group Parent or Guardian s Name (Please Print) Home Ph. ( ) Work Ph. ( ) Cell Ph. ( ) Parent or Guardian s Signature Please list everyone who is authorized to pick your child up from camp. Circle all of the days that each person is allowed to pick up your child. Please inform the camp instructor in the morning if there are any changes in your child s pick-up schedule. Name of authorized person Phone numbers Work phone and & relationship to camper (Home and Cell) days allowed to pick up 1. H: W: 2. H: W: 3. H: W: 4. H: W: 5. H: W: 6. H: W: 7. H: W:
6 ZOO CAMP BEHAVIOR CONTRACT Expectations 1. Follow the counselor s directions. 2. Always stay with the group. 3. Be courteous to others. Remember to treat others as you would like to be treated. Keep your hands, feet and other objects to yourself. 4. Always talk to a counselor if you have a question or a problem during camp. We won t be able to help you if you don t speak up. 5. Pay attention and listen when someone is speaking. Failure to follow these expectations will result in an unsafe or unenjoyable atmosphere for you and others in camp. Should that happen, the following consequences will occur: Consequences Depending on the severity of the situation or if the behavior persists, one or more of the following consequences will be taken. 1. Counselors will discuss the behavior with the camper. 2. Counselors will discuss the behavior with the parent/guardian. 3. The child will be sent home immediately or told that he/she will not be allowed to return the following day. Note: There are no refunds when a child s own behavior requires he/she be sent home. I have read and understand the Zoo Camp Behavior Contract and I have discussed it with my child in a manner that he/she can understand. Parent / Guardian Signature Date Signed Print Child s Name
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