membership form - Cougar Mountain Zoo

Membership Application

Please fill out the following to start the process of becoming a Cougar Mountain Zoo Member to renew your expired Zoo Membership! After your form has been received by Zoo Staff, you will be emailed a link with payment options through our secure online store. Please allow 48-72 hrs. Your Membership will not be complete or renewed until payment is received. Thank you!

Is this a NEW Membership?*
- New
- Renewal
- Gift
Membership Type*
Select your Membership type. Family/Group Membership includes 3 named individuals on the Membership. Additional Members can be added for $25 each (children under age 3 are free). Children under age 3 can be listed free of charge on Single and Dual Memberships. Expand the Family/Group Membership by adding Children, Grandparents, caretakers, etc. 8 people max. per Family/Group Membership* Additional members can be added to the Lifetime Membership for $300 each. *Not applicable to Single or Dual Memberships*
Additional Member(s)*
- Yes
- No
Additional Member(s) Quantity*
If you will be adding additional Members (age 3 and Up) to your Family/Group Membership, please note the quantity in the field below. Max 5 additional people. Family/Group Membership CANNOT exceed 8 people, INCLUDING Children under age 3.
Price: $25.00
Member Names*
Please list ALL named individuals to be on the Membership. Primary Contact should be listed first. 8 people max for Family/Group - this INCLUDES Children under age 3. Click the plus to add additional names. Children under age 3 need to be listed and noted as "Under 3".
Children under age 3*
Will there be any Children under age 2? Children under age 2 may be listed free of charge on Single and Dual Memberships. Upon the child turning 3, the Membership will need to be upgraded to the appropriate membership level at the time of renewal.
- Yes
- No
Children Under 3 Info*
Even though free, Children under age 3 need to be listed on the membership. Please list Children under age 3.
Name Birthday
Contact / Billing Information
Please fill out all the required fields below
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Notes
Clicking submit does not signify payment. YOUR MEMBERSHIP IS NOT COMPLETE. An invoice with payment options will be sent in a future email after this form has been received by Zoo Staff. Thank you!
Validate You Are Real

Membership Application

Contact / Billing Information

Cougar Mountain Zoo

Information

info@cougarmountainzoo.org

Additional Links

Name	Birthday