Summer Camper Info Form : Education : Lincoln Children's Zoo

Please fill out one form per child registered for Zoo Summer Camp. This information will only be shared with education staff to help ensure the safety of your child while attending camp. Thank you!

Camper/Contact Info

Camper's First and Last Name (Required)

Parent/Guardian First and Last Name (Required)

Parent/Guardian Phone Number (Required)

Parent/Guardian Email (Required)

First and Last Name of person who purchased Zoo Camp for this camper (if different from parent/guardian)

What age group is your child registered for?

*Reminder: This year, campers needed to sign up using their current, 2024-2025 grade year. Exception is those enrolling in kindergarten in the fall who will be at least 5 years old during camp may register.

Kindergarten & 1st Grade
2nd & 3rd Grade
4th & 5th Grade
6th & 7th Grade

For which week(s) is your camper registered? (Select all that apply.)

T-shirt Size

Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL

Emergency Contacts

Emergency Contact information will be used to reach caregivers if a medical or behavioral situation arises during camp. Please only list emergency contacts who are able to promptly answer their phone during the day.

Emergency Contact #1 Name (Call First) (Required)

Emergency Contact #1 Phone Number (Required)

Emergency Contact #1 Relationship to Camper (Required)

Emergency Contact #2 Name (Call if #1 does not answer) (Required)

Emergency Contact #2 Phone Number (Required)

Emergency Contact #2 Relationship to Camper (Required)

Medications/Allergies

Camper Allergies
Please list any allergies. If none, please leave blank.

Camper Allergies

Camper Medications
Please list any medications that your child will need to take during camp hours (8:30am -4:30pm). If none, please leave blank.

Medicine will be carried by camp counselors throughout the day. Please send medications in the original bottle, as we cannot carry any loose medications in an unmarked package. Counselors will keep this medication for the week and send it back home on Friday. By signing this waiver, you authorize camp staff to supervise your camper in administering their own medication.

Camper Medications - dose, frequency, route, side effects, instructions.

Special needs, Accommodations, or Additional Info
Please list any special needs, accommodations, or additional information that may be helpful to our camp staff. If you have a friend request for your camper to be in the same group as another camper, please include that request here. If none, please leave blank.

Additional Camper Info

Approved Pick Up

Campers will only be released to individuals on their approved pick-up list. Approved adults must bring a photo ID with them every day in order for a camper to be released to them. Please also list any adults to whom your child is not to be released in the “Unapproved Pick Up” section.

Approved Pick Up (Required)

Please list anyone who is NOT approved to pick up your camper.

NOT Approved

Consent

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The Zoo will be taking photos and videos of Zoo Camp. By checking this box, I understand that photos or videos of my child at Zoo Camp may be used for promotional purposes by the Zoo.

I understand

By checking this box, I acknowledge that participation in any Zoo program exposes my child to certain risks and dangers and accept any and all risks associated with my child attending Zoo Camp.

By checking the "I Understand" box, I acknowledge and agree that I have fully read, understand and voluntarily sign this release of liability.

I understand

Camper Info Form - Summer Camp 2025

Camper/Contact Info

Emergency Contacts

Medications/Allergies

Approved Pick Up

Consent