If your child has a disability and requires accommodations to participate in Z.E.B.R.A. classes, please contact the zoo office at least one week prior to the start of the session to discuss the accommodations needed.

Parent/Guardian's Name *

Parent/Guardian's Email *

Parent/Guardian's Phone *

Emergency Phone # *

Child's Name *

Gender * Female
Male

Child's DOB *

Age *

Grade *

Allergies or Medical Concerns *

Parking is available at the education building located on Smith Street between the zoo and the fairgrounds. Arrival/dismissal policy for all Z.E.B.R.A. participants: A parent, guardian or other supervising adult must sign the student in and out each day the student attends a Z.E.B.R.A. class. Please do not drop off or pick up your child without also coming into the education building.

NOTE TO PARENTS of Z.E.B.R.A. STUDENTS OF ALL AGES: Please only enroll in one session per topic. Additional sessions with the same topic contain duplicate materials. Activities are planned for age-specific abilities. Please follow age guidelines. Children should be dressed to be outside and wear closed-toe shoes. For your child's safety, Crocs, flip-flops and sandals will not be allowed.

I hereby authorize Dickerson Park Zoo and Friends of the Zoo to take any steps to ensure my child's health in case of an emergency. I also authorize Dickerson Park Zoo to use my child's name and/or photograph for education and public relations purposes related to the zoo.

Yes I agree *

If your child has a disability and requires accommodations to participate in Z.E.B.R.A. classes, please contact the zoo office at least one week prior to the start of the session to discuss the accommodations needed.

Parent/Guardian's Name *

Parent/Guardian's Email *

Parent/Guardian's Phone *

Emergency Phone # *

Child's Name *

Gender * Female
Male

Child's DOB *

Age *

Grade *

Allergies or Medical Concerns *

Parking is available at the education building located on Smith Street between the zoo and the fairgrounds. Arrival/dismissal policy for all Z.E.B.R.A. participants: A parent, guardian or other supervising adult must sign the student in and out each day the student attends a Z.E.B.R.A. class. Please do not drop off or pick up your child without also coming into the education building.

NOTE TO PARENTS of Z.E.B.R.A. STUDENTS OF ALL AGES: Please only enroll in one session per topic. Additional sessions with the same topic contain duplicate materials. Activities are planned for age-specific abilities. Please follow age guidelines. Children should be dressed to be outside and wear closed-toe shoes. For your child's safety, Crocs, flip-flops and sandals will not be allowed.

I hereby authorize Dickerson Park Zoo and Friends of the Zoo to take any steps to ensure my child's health in case of an emergency. I also authorize Dickerson Park Zoo to use my child's name and/or photograph for education and public relations purposes related to the zoo.

Yes I agree *