Education: Tots Registration Form

Registration - Nature, Park & Zoo Tots

Registration is NOT complete until payment is received. Please call 204-927-6070 to submit payment with Visa or MasterCard by phone. Alternatively, please send a cheque addressed to 'Assiniboine Park Conservancy' to 55 Pavilion Crescent, Winnipeg, MB R3P 2N6.
Tots programs are geared for children aged 3 to 6 with an adult partner.

* Required
Tot's Name

First NameLast Name
Birthdate

MonthDayYear
Allergies

Other
Purchaser's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Assiniboine Park & Zoo Membership Number
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
I would like to register for the following Tots program:
Program Name:
Program Date(s):
Program Time(s):
Price
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
2nd Program Name:
2nd Program Date(s):
2nd Program Time(s):
Price
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
Fees
- Prices vary depending on the course - please see our website for details
- No refunds unless workshop is cancelled by Assinsiboine Park Conservancy
* Membership must be valid at the time of purchase. Membership discount does not apply to programs run by independent third parties.
Total Amount Owing
Payment
Questions or Comments
Would you like to receive e-mails from Assiniboine Park Conservancy including information about events, programming, and education offered at Assiniboine Park & Zoo?
Should be Empty:

Registration - Nature, Park & Zoo Tots