SAFARI ZOO CAMP- Agreements
Please print and complete this form. Below is a checklist of things that are required to be mailed or delivered to Safari Zoo Camp within 3 weeks of submitting this online registration form to secure enrollment. Registrants for the adult program are only required to fill out the fields that are marked with a red asterisk "*". Please print clearly.
*CANCELLATION AND REFUND POLICY: All cancellations must be in writing. The initial $100 deposit is not eligible for refund, credit, or transfer. There is no refund for cancellations received after June 1. No refund will be made for dismissals due to disciplinary action, late arrivals or early departures. Withdrawal due to a physicians order (accompanied by a medical certificate), or release from the program due to a transferable or communicable condition, will be issued a refund for the number of days missed. There will be no refund for any camper, for whatever reason, that decides to leave camp. For conditions beyond our control, we reserve the right to cancel any session, whereas a full refund will be issued. There is a $35.00 charge for NSF cheques. I have read and agree to Safari Zoo Camp’s Payment and Cancellation terms, policies and conditions.
Signature of Parent/Guardian/Adult camper:
Date (MM/DD/YY):

CONFIRMATION AND AUTHORIZATION (medical information): To the best of my knowledge, this camper is in good health and I have fully disclosed all medical, psychological and/or emotional problems or concerns. In case of emergency, should I not be immediately available for consultation, I hereby give permission to the Safari Zoo Camp staff to hospitalize, secure proper treatment for, and/or to order and secure necessary related transportation, injections, anesthetics or surgery for ______________________________(campers full name). I agree to be responsible for any extra medical expenses incurred by my child or by the camp on behalf of the above camper. I acknowledge that any medical treatment will be performed in the Province of Ontario and that the Courts of Ontario shall have exclusive jurisdiction over any claim, legal dispute or cause of action arising out of the camper’s stay at Safari Zoo Camp/Jungle Cat World, or his/her medical treatment, including any relationship with a physician, nurse or hospital. I hereby agree that if I commence any such legal proceedings they will be held only in the Province of Ontario and I hereby irrevocably submit to the exclusive jurisdiction of the Courts of the Province of Ontario. In the case that the above medical information should change before arriving at camp, I will disclose changes in the camper’s health status in writing to the camp.

Signature of Parent/Guardian:
Date (MM/DD/YY):

*RELEASE, WAIVER AND INDEMNITY: In consideration of the owners of Safari Zoo Camp/Jungle Cat World, its directors, management, staff and/or volunteers, accepting ______________________________(campers full name) as a participant at Safari Zoo Camp/Jungle Cat World, I ______________________________(parent/legal guardian/adult camper- full name), my heirs, executors, administrators, successors and assigns, hereby waive, release and forever discharge the owners of Safari Zoo Camp/Jungle Cat World and all their respective officers, employees, servants, agents, contractors, representatives, volunteers, successors and assigns (collectively Safari Zoo Camp/Jungle Cat World) of and from all claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to the camper or his/her property howsoever caused, arising or to arise by reason of the campers participation in the Safari Zoo Camp/Jungle Cat World program, whether as a spectator, participant or otherwise and whether prior to, during or subsequent to the campers participations in the program. I further hereby undertake to hold and save harmless and agree to indemnify all of the aforesaid from and against any and all liability by any or all of them arising as a result of, or in any way connected with, the campers participation in the said program, except such as results solely from its or their willful neglect or willful default. I confirm that the above camper is capable of participating safely in the full program and all activities unless I advise you otherwise in writing and I acknowledge that such participation involves risks and hazards incidental thereto all of which are assumed by me. By signing this document, I acknowledge having read, understood and agreed to the above release, waiver and indemnity.

Signature of Parent/Guardian/Adult camper:
Date (MM/DD/YY):
*PAYMENT INFORMATION: Total Amount Enclosed: $
Payment by Credit Card: Visa Mastercard American Express
Card Number:
Expiry Date (MM/YY):
Name on Credit Card:
Cardholders Signature:
I authorize Safari Zoo Camp to charge the balance owing to my Credit Card after June 1: Yes No

CHECKLIST: Please be sure the necessary information, paperwork and payment is included when mailing the AGREEMENTS form:

* Online registration form completed and submitted

* Agreements signed and dated
Recent close-up photo of the camper with their full name written on the back
Photocopy of Health Insurance Card (Canadians) or Health Insurance Plan (non-Canadian residents)
* Deposit or full payment: Cheque, Money Order or Credit Card information

3667 Concession 6, Orono, Ontario, L0B 1M0, Canada
camp: (905)983-8217 | zoo: (905)983-5016 | fax: (905)983-9858
http://www.zoocamp.com | email: info@zoocamp.com
©Copyright 2000-2006, Jungle Cat World®, Safari Zoo Camp®. All rights reserved.
Last updated May 2, 2006