Summer Camp 2019 1 General Information2 Health History3 Release Forms & Emergency Contacts *This form is for online (paypal) purchases only, if for some reason you cannot complete your payment online you may arrange payment through other methods by bringing in the printed registration email in person prior to the event, or arrange payment over the phone by calling the Education Department at 512-288-1490 ext. 107 or emailing firstname.lastname@example.org.Parent/Guardian Name* First Last Child's Name* First Last Child's Age (at the time of camp)*Child's shirt size*SmallMediumLargeXLAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone Number*Alternate Phone numberAre you an Austin Zoo member?*YesNoI'm not sureWould you like to become a member and save $25 on your camp registration? A single membership is just $60 per year. Follow this link to get more information and sign up. Memberships (It will open a new tab so none of your information will be lost.)Fur, Feathers, Scales, and Skin, Oh My!What kinds of animals live at Austin Zoo? Throughout this week, campers will explore the Zoo and learn how scientists study them, and what makes each animal special. Fur, Feathers, Scales, and Skin, Oh My! June 3-7 Fur, Feathers, Scales, and Skin, Oh My! After Care Fur, Feathers, Scales, and Skin, Oh My! *Member Price Price: $250.00 Fur, Feathers, Scales, and Skin, Oh My! : Non-Member Price: $275.00 Fur, Feathers, Scales, and Skin, Oh My! After Care Price: $40.00 If I Ran the ZooWhat would you include if you had your own zoo? We will explore Austin Zoo to learn why animals are in zoos and how to design exhibits to best take care of them. Campers will build model exhibits based on their zoo’s master plan. If I Ran the Zoo June 10-14 If I Ran the Zoo After Care If I Ran the Zoo *Member Price Price: $250.00 If I Ran the Zoo : Non-Member Price: $275.00 If I Ran the Zoo- After Care Price: $40.00 We Built a ZooLearn what it takes to design a zoo exhibit. Learn to read simple blueprints, study animal behavior and anatomy in order to build a safe and effective zoo exhibit. Learn about the educational components and developmental process in creating zoo habitats. Participants will design their own exhibit and graphic signage and build an exhibit model. We Built a Zoo June 17-21 We Built a Zoo After Care We Built a Zoo *Member Price Price: $250.00 We Built a Zoo : Non-Member Price: $275.00 Crafty CrittersCan birds count? Do capuchins use tools? Who taught prairie dogs to build underground towns? Campers will explore animal intelligence and design skills while creating their own art! Crafty Critters June 24 - 28 Crafty Critters After Care Crafty Critters *Member Price Price: $250.00 Crafty Critters : Non-Member Price: $275.00 Crafty Critters - After Care Price: $40.00 Zooper HeroesWhat do Superman, Wonder Woman, Mystique and Spiderman all have in common? Real animal talents inspire their super human powers. Participants will get to know Austin Zoo animals’ talents and create their own superheroes! Zooper Heroes July 8-12 Zooper Heroes After Care Zooper Heroes *Member Price Price: $250.00 Zooper Heroes : Non-Member Price: $275.00 Zooper Heroes- After Care Price: $40.00 THe Great Zoo DetectiveWho dared to steal Aesa, the lioness’, favorite ball? Campers become detectives this week and use their senses and their science skills to solve this and many more animal mysteries. The Great Zoo Detective July 15-19 The Great Zoo Detective After Care The Great Zoo Detective *Member Price Price: $250.00 The Great Zoo Detective : Non-Member Price: $275.00 The Great Zoo Detective - After Care Price: $40.00 Zoo Science InvestigatorsLearn to be a wildlife investigator as you use tracks, scat and forensic techniques to solve true to life mystery crimes! Campers will make and take home their own working foldable microscopes. Zoo Science Investigators July 22-26 Zoo Science Investigators After Care Zoo Science Investigators *Member Price Price: $250.00 Zoo Science Investigators : Non-Member Price: $275.00 Zoo Science Investigators - After Care Price: $40.00 Nature TrackersIt’s time to round up the zoo-sual suspects. Campers will examine the clues that animals leave behind to solve critter whodunits. Nature Trackers July 29-Aug 2 Nature Trackers After Care Nature Trackers *Member Price Price: $250.00 Nature Trackers : Non-Member Price: $275.00 Enrichment EngineersLet’s give back to the animals during this final week of camp! Campers’ creativity will be challenged engineering enrichment toys, puzzles and food treats that enhance the lives of our animals. Enrichment Engineers Aug 5- 9 Enrichment Engineers After Care Enrichment Engineers *Member Price Price: $250.00 Enrichment Engineers : Non-Member Price: $275.00 Enrichment Engineers - After Care Price: $40.00 Additional T-Shirts Price: $10.00 Quantity: Total $0.00 Is child currently under the care of a physician or psychologist?*Yes (explain below)NoPlease Explain HerePlease note any allergies, reaction and treatment.Are there any activities that should be restricted?Would your child benefit from behavioral or physical accommodations?Is there anything else we should know about your child to help us ensure his/her best chance at success?This health history is correct as far as I know, and the child described has permission to engage in all program activities except as noted by me.*I Agree Emergency Contact Name First Last Emergency Contact NumberEmergency Contact RelationshipSection BreakEmergency Contact Name #2 First Last Emergency Contact Number #2Emergency Contact Relationship #2Section BreakAUSTIN ZOO - AUSTIN ZOOLOGICAL SOCIETY RELEASE FORM*I Agree In consideration of my child, being allowed to participate in Austin Zoo Summer programs. I, the undersigned parent/legal guardian do hereby release and agree not to hold liable Austin Zoo, its officers, agents and employees, from any and all actions, causes of action, claims, demands, costs or damages as a result of property damages or personal injuries or death sustained by my child on Austin Zoo’s property arising from or resulting from an act or omission, negligent or otherwise, of Austin Zoo, its officers, agents or employees while participating in Austin Zoo Summer programs. Child Consent*I AgreeConsent is hereby given for my child to attend Austin Zoo Summer programs and permission is given for any emergency medical treatment which might be necessary. In case of medical emergency, and in the event that I cannot be reached or present, I give permission to the Austin Zoo staff to secure medical treatment, including hospitalization, for my child. I understand that some camp activities such as husbandry and hiking carry inherent hazards and are physically strenuous. PHOTO/VIDEO RELEASE*I AgreeI hereby authorize Austin Zoo and Austin Zoological Society to use, reproduce, and/or publish photographs and/or video that may pertain to me – including my image, likeness, and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, broadcast public service advertising (PSAs), multimedia exhibits, or for other related endeavors. This material may also appear on Austin Zoo, Austin Zoological Society or project sponsor’s Internet Web Page and/or digital social media services. I AGREE, and hereby certify that I am the legal guardian of the minor(s) stated and can legally grant permission for the use of his or her image. Total $0.00 *This form is for online (paypal) purchases only, if for some reason you cannot complete your payment online you may arrange payment through other methods by bringing in the printed registration email in person prior to the event, or arrange payment over the phone by calling the Education Department at 512-288-1490 ext. 107 or emailing email@example.com.NameThis field is for validation purposes and should be left unchanged.