| 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 |