Jungle Camp Registration

Please use this form to register your camper for a week of wild fun at Zoosiana's Jungle Camp. 

Please read:
  • You may register up to 3 campers on this form.  To register additional campers or to register for additional weeks, complete and submit this form, complete the payment step on the next page, and then return to this form to register the additional campers or the additional weeks.
  • A $25 (plus tax) deposit is required per camper per week to complete the registration.  Online registration is offered as a courtesy and, therefore, a small convenience fee is added at checkout to cover the cost of the online portal.  Once you click submit on this form, you will be directed to the deposit payment page.
  • Coupon or discount? If you have a coupon or discount, type in the code in the relevant field.  Your discount will be applied when you pay your final balance the first day of camp - make sure to bring the coupon with you that day to apply it to your balance.  Discounts cannot be applied toward the registration deposit.


First Camper's Name
First Camper`s Age (must be at least 5 years old before first day of camp)
First Camper's Shirt Size
Second Camper's Name
Second Camper`s Age (must be at least 5 years old before first day of camp)
Second Camper's Shirt Size
Third Camper's Name
Third Camper`s Age (must be at least 5 years old before first day of camp)
Third Camper's Shirt Size
First Choice Week
Second Choice Week
Third Choice Week
Would you like to order additional shirts ($10.00 each)?
If yes, how many shirts and in what sizes?
Parent's Name
Mailing Address
City
State
Zip Code
Parent's Email
First Contact Person Name
First Contact Person Number
Second Contact Person Name
Second Contact Person Number
Authorized Adults to Sign Out Camper(s)
Any allergies?
Discount or Coupon Code
Name of Person Completing this Application
Certification: I certify that the information in this application is true and correct and the child(ren) I am enrolling will be at least 5 years of age before the first date of camp.
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