Membership Form

Please fill out the following information to start the process of purchasing a membership to the Charles Paddock Zoo. After this information is collected, you will be redirected to our shopping cart where you can select your membership type and complete your transaction. Please scroll down and submit this form. After you submit the form, wait a few seconds for our checkout process to load.

New or Renewal Membership?
Membership Type:
Name on the Account (Required):
Email (Required):
2nd Name on the Account:
2nd Email:
Address (Required):
City (Required):
Zip (Required):
Home Phone:
Cell Phone:
Is this is Gift Membership?
If yes, please enter the following:
Giver's name:
Giver's Address (with City, St., and Zip):
Giver's Phone:
Givers Email
If you would like information about our age specific camps and programs please let us know the ages of your children/grandchildren/friends. Thank you!	None Pre-School K through 3rd grade 4th through 8th grade Teen

(After you submit, don't forget you will need to complete the checkout process through our shopping cart system. Please continue after you click Submit above.)