Boy Scout Merit Badge Program
Riverside Zoo Registration Form
Scout Leader: _______________________________Troop #:
____________
Mailing Address: ________________________________________________
City: _____________________ State: _____________ Zip: _______________
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Registration forms and payment are due to the zoo by the registration deadline. Late registrations will not be accepted. | |
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Refunds will not be granted unless a one-week cancellation notice is given. | |
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All programs must have at least 5 participants to run. | |
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Students should meet their zoo councilor at the front office 10 minutes prior to the classes scheduled start time. | |
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Programs will be held indoors and outside, dress appropriately. | |
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Notify zoo staff of any allergies a student may have (food, bees, grass, etc.) | |
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Riverside Zoo is not responsible for students that are not on time or are picked up late. | |
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Scouts should read their merit badge manual prior to coming to class. The merit badge manuals can be purchased at your scouting supply store for $3.15 (they contain all of the necessary information for completing take home assignments). |
I accept full responsibility in case of an accident. I will not hold the City of Scotsbluff, the employees or volunteers working for the City of Scottsbluff responsible for any accidents resulting from participation in Riverside Zoo's educational programs. My child is not suffering from a physical or emotional condition that could affect his participation in these programs. I do hereby grant permission for pictures to be used in publicity or brochures related to the City of Scottsbluff Riverside Zoo. (Sign and date release form below).
Student's Name:
_______________________________________________________
Parent's Name: _________________________________________________________
Address: ______________________________________________________________
City: _________________________ State: ______________ Zip: ________________
Phone #: ________________________ Age of participant: ____________________
Name & Date of Program(s): _____________________________________________
_______________________________________________________________________
_______________________________________________________________________
Cost: __________________________ Allergies: ______________________________
Parent or Guardian Signature & Date: ____________________________________
Return completed registration forms and full payment to:
Scout Programs
Riverside Zoo
1600 South Beltline Hwy West
Scottsbluff, NE 69361
Phone: $308) 630-6266 or 308-632-2971
Fax: (308) 632-2953