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Class Registration Form

Summer Camp Registration Form (pdf) | ZooVenture Registration

Advance registration required. Classes filled on first-come, first-served basis by mail, fax or in person.
No phone registrations accepted. You will receive written confirmation.
For more information please call (503) 220-2781 or e-mail .
Refunds, minus a 10% administration fee, are available if you cancel 5 working days before the program date.

To register for classes, print out the form and mail it with payment, or fax with credit card number to 503-220-5712

Adult's Name: _______________________________ Address: _____________________________________________
City: _____________________________________ State: ______ Zip: ___________________ 
Phone (day): ___________________________ Phone (eve): ___________________________
Are you an Oregon Zoo Member? _____No    _____Yes     If yes, what is your member number? ______________
If you would like to be an Oregon Zoo member, please call (503) 220-2493 for more information.
Class Title Date Participant Name Adult or Child? D.O.B. Fee
           
           
           
Total Fee:  
Zoo Education Scholarship Donation:  
Total Fee Charged to Credit Card:  
Name as it appears on charge account: ___________________________________________________

Account Number: ____________________________________ Expiration Date: ___________________
In the event that my class choice is full, I would prefer: (select one only)
        _____ to keep a class credit on file
        _____ a cash refund by mail

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