Become a Member!


Please complete the form below. Thank you for your membership!
( * = required field )
First Name:  *  
Last Name:  *  
Organization:
Address:  *  
City:  *  
State:  *  
Zip Code:  *  
Country:
Phone:  *  
Email:  *  
Confirm Email:  *  
Please complete the fields below. This information will be printed on the membership cards.
Name of Primary Adult in Household
(first and last name):
Name of Secondary Adult in Household
(first and last name):
Number of Children
(age 17 and under):
*Must be your own children or grandchildren age 17 and under
Number of Grandchildren
(age 17 and under):
*Must be your own children or grandchildren age 17 and under
Is this a Gift Membership?:   Yes    No  
Gift Membership Shipping Preference:   To me    To my friend  
If this is a gift membership, please indicate how you would like it to be shipped.
Renewal Preference:   To me    To my friend  
If this is a gift membership, please select where would you like the renewal notice to be sent.
Mailing Address for Gift Membership:
If you have ordered a gift membership, please provide their address above (first name, last name, street, city, state, zip, country). This is the shipping address for us to mail the membership card.
Messages:
Amount ($):  *  
 $40.00  Individual  [ Admits one adult ] 
 $50.00  Dual  [ Admits two adults living at the same address ] 
 $75.00  Family  [ Admits two adults living at the same address and their own children age 17 and under ] 
 $75.00  Grandparent(s)  [ Admits two adults living at the same address and their own grandchildren age 17 and under ] 
 $125.00  Peacock  [ Family or Grandparents member benefits, plus Add-a-Guest ] 
 $250.00  Penguin  [ Family or Grandparents member benefits, plus Add-a-Guest ] 
 $500.00  Roo  [ Family or Grandparents member benefits, plus Add-a-Guest ] 
 $1000.00  Phoenix  [ Family or Grandparents member benefits, plus Add-a-Guest and a Zoo tour ]