Author: kidsmagnet

Aldersgate UMC
Wild Night at the Zoo
Registration Form
Friday, August 9 @ 6:00pm
Saturday, August 10 @ 9:00am
Ages: 7—12 years old
*For the safety and security of the children and the zoo there can be no late arrival or early dismissal.

Invite a friend to come with you!

Child’s Name:__________________________________________________________________
Child’s Age:____________________________________________________________________
Phone Number: /home:__________________/cell_______________________________________
Address:________________________________________________________________________
Email:__________________________________________________________________________
Father:_________________________________________________________________________
Mother:________________________________________________________________________
Emergency Contact Information:
Name:__________________________________________________________________________
Relationship:____________________________________________________________________
Phone No:______________________________________________________________________
People Authorized to pick child/children up:
Name:_______________________________/__________________/_______________________
Relationship:_________________________/__________________/________________________
Food and Drink (One pizza is ordered for every 4 participants; one drink is provided additional drinks can be ordered for .50)
Pizza: ___Cheese ___Pepperoni ___Sausage ___Supreme
Drinks: ___Pepsi __Sierra Mist ____Caffeine Free Pepsi ___ Diet Pepsi ____Water
Breakfast: Donuts, cereal and fruit ( One type of fruit can be ordered—order based on majority)
____apples ___bananas ____assorted ____none

Creatures of the Night Theme
Find out what happens at the zoo when the lights go out! You'll enjoy lots of fun including pizza dinner, snack, continental breakfast, crafts, activities and a walk through the zoo at night complete with a special tour of the Aquarium workroom before bedding down in the Aquarium Gallery.
Joan and John Schell as well as other adults will chaperone the event. Cost: $28 p/child
Questions? Contact Joan Schell, Director of Children’s Ministries, at 260-432-1524 or kidsmagnet@yahoo.com
Return this form to Aldersgate by July 1st
(The zoo requires all forms be turned in 30 days prior to the event)

What to bring: appropriate clothing, clothes for next day, pjs, toothbrush, sleeping bag, pillow; foam pad or air mattress is optional.