Kindergarten Registration Form

KinderZOO!
Registration Form

School Name:*
County:*
Address:*
City:*
Zip:*
Contact Person:*
Phone:*
Email:*
Grade Level / Program*
Total # of Kindergarten Classes:
First Program Date:
Alternate Date:
1st Visit - # of Teachers:
1st Visit - # of Classes:
1st Visit - Approx. # of Students:
1st Visit - # of Chaperones (at least 1 per 8 students - 5 additional chaperones max):
Second Program Date:
Alternate Date:
2nd Visit - # of Teachers
2nd Visit - # of Classes:
2nd Visit - Approx. # of Students:
2nd Visit - # of Chaperones (at least 1 per 8 students - 5 additional chaperones max):
Third Program Date:
Alternate Date:
3rd Visit - # of Teachers:
3rd Visit - # of Classes:
3rd Visit - Approx. # of Students
3rd Visit - # of Chaperones (at least 1 per 8 students - 5 additional chaperones max):
Please note any special requirements, such as wheelchair needs.
Please answer the simple math question below to submit the form.
2 + 2 =