Parent/Guardian Information
Emergency Contact Information
Medical Information
**Make sure to select Member or Non-Member for your session or sessions!**
Pueblo Zoo Camp Notice of Vaccination Records
I understand that an up-to-date copy of my child's vaccination records from their doctor will need to be provided to the zoo by the first day of camp. Failure to do so will prohibit my child from taking part in camp until record of vaccinations are received by the Pueblo Zoo. If I choose not to have my child vaccinated, I understand a release will need to be signed by an authorized caretaker on the first day of camp.
Pueblo Zoo Camp Release of Liability
I understand, although safety precautions will be taken, potential risks do exist. These risks might include such accidents as falls, injury by another child, insect sting or bite, and cuts, scrapes or bruises. In any activity involving contact with animals, there is a risk of bites. In the event an accident does occur, I release the Pueblo Zoo, its workers, employees, agents, servants, and volunteer workers from liability resulting from their acts or omissions. If emergency treatment or advice is considered necessary by Pueblo Zoo staff, I understand the parent or guardian will be notified. If these parties cannot be reached, I authorize Pueblo Zoo staff to arrange whatever treatment is considered necessary.
Pueblo Zoo Camp Photo/Video Release
Permission and Consent: I acknowledge that the Pueblo Zoo might from time to time take photographs or video of the participants and attendees of the camp programs and activities, and that such photographs or videos might be used in brochures and program advertising. I hereby give permission to the Pueblo Zoo to take photographs or video of my child during this camp and to use, display, publish, reproduce and distribute any photographs or videos that include my child's image.
Pueblo Zoo Cancellation Policy
Pueblo Zoo Late Pick Up Policy
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.