By submitting this application, I hereby certify that I am the legal parent or guardian of the child. I understand and assume the risks of participation in this program. For myself, my heirs and assigns I agree to waive, release and forever discharge any claim for injury or damage, and hold harmless Chintimini Wildlife Center, its officers agents, volunteers and employees against any claim, loss, liability or expense including attorney's fees, resulting directly/indirectly from participation.
Pay online by credit card through PayPal after you Submit this form (or you can mail us a personal check).