Name___________________________________________  Date____________

Street Address__________________________________ City & State____________________Zip__________

Home Phone__________________Other Phone_______________ E-mail address ________________________

Age ___ Current Grade _______School__________________________________________________________

T-shirt size: S M L XL 1XL 2XL

Have you previously been a Zoo Crew member?   Yes   No       If yes, when? ________________

Why do you want to participate in the Zoo Crew Program? ____________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Have you ever been convicted for violation of any federal, state, county, or municipal law, regulation, or ordinance? Yes   No

In case of emergency, whom should we contact?

Name______________________________ Relationship___________________

Home Phone ____________ Cell Phone________________ Work Phone_________________

I have read and agree to the Zoo Crew Volunteer program requirements:

Zoo Crew Volunteer Signature___________________________________

Parent or Guardian Approval ____________________________________

Teacher or Other Recommendations Required:

I recommend this student into the ZOO Crew Program.

Name & School/Organization (please print)_____________________________________________________

Signature___________________________________ Phone______________________

Name & School/Organization (please print)_____________________________________________________
 
Signature___________________________________ Phone______________________

Submit application to:

Children's Zoo at Celebration Square
1730 S. Washington Avenue
Saginaw, MI 48601
Phone: 989 759-1408
Fax: 989 759 1328

Applicants will be notified upon acceptance into the program.