Home School Programs Registration Form

To Register, please follow these steps:

  1. Fill out form completely.
  2. Select one or more programs
  3. Choose form of payment. Make checks payable to "Delaware Zoological Society."
  4. Mail or drop off registration form and payment to: Delaware Zoological Society,1001 N. Park Dr., Wilmington, DE 19802
Adult's First Name:
Adult's Last Name:
Address:
City:   State:    Zip Code:
Phone Number:Alt. Phone:E-Mail:

PROGRAM 1

Name:   Date:    Total:
Child's Name:   DOB:

PROGRAM 2

Name:   Date:    Total:
Child's Name:   DOB:

PROGRAM 3

Name:   Date:    Total:
Child's Name:   DOB:

PROGRAM 4

Name:   Date:    Total:
Child's Name:   DOB:
If you need to cancel, there is a $3.00 processing fee charge.
No refunds will be given for no-shows or cancellations less than 48 hours prior to the program.
Limited parking is available at the Education Building. Additional parking is available off of North Park Drive by the river.

Payment Options:

Visa     MasterCard      Discover Card     American Express
Credit Card #:
CVV #:        Expiration Date (MMYY):
Card Holder First Name:
Card Holder Last Name:
Address:
City:   State:    Zip Code:
Phone Number:E-Mail: