Member Info Completion - Cougar Mountain Zoo

Membership Completion Form

Form for collecting missing information at the admissions window. Self service - member scans qr code, types in info.

Primary Member Name(Required)

Please enter the First and Last name of the person responsible for this Membership.

Birthdate(Required)

This is only collected for internal purposes

Email(Required)

This is the email that will be used for online reservations for encounters, membership benefits, etc.

Phone(Required)

Number of People Named on Membership(Required)

Please enter a number from 1 to 8.

Please enter the number of Named individuals on the membership. For Example - A Family / Group Membership includes 3 Named Members. Additional Members can be added for an additional Min. Donation of $25

Second Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Third Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Fourth Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Fifth Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Sixth Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Seventh Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Eighth Member Name(Required)

Please enter the First and Last name of the additional member.

Birthdate(Required)

This is only collected for internal purposes

Are there any children under 3 unnamed on the membership?

Yes

Under 3 Names and Birthdays

Please provide names and birthdays for any children under the age of 3.

Membership Completion Form

Cougar Mountain Zoo

Information

info@cougarmountainzoo.org

Additional Links