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Great Lakes Aquarium > Form

Chickadees Nature Play Group - Thursdays 12:30-2:00 p.m. (Fall 2026)

This form completes your registration for the full session of Fall 2026 Chickadees.

"*" indicates required fields

Child's Name*
This form should be filled out by the above named child's parent or guardian.*
Child's Gender Pronoun*

Child's Birth Date*
Must be between the ages of 3 and 5 at the time of the first class

Contact Information

Parent/Guardian Name*
Are you or the child a Great Lakes Aquarium member?*
Not sure? Call to ask at (218) 740-2031
Home Address*
Alternate Adult Contact Name*
At the end of class, I authorize Great Lakes Aquarium to release my child to the following adult(s) or guardian(s) other than myself:

Confidential Health Form

Great Lakes Aquarium is committed to creating a welcoming and inclusive environment for all participants. Please provide as many details about your child and their needs as possible so that we can provide a fun, safe, and educational experience.
Allergies*
Does this child experience allergic reactions to any of the following? Select all that apply.

Illness Policy

Great Lakes Aquarium reserves the right to make updates to these policies prior to the start of classes based on current information in order to best protect staff and participants.
Health Policy*
Great Lakes Aquarium requires that all participants be fever and diarrhea-free or on antibiotics for at least 24 hours before returning to programming after an illness.

Great Lakes Aquarium Waiver and Release

Great Lakes Aquarium maintains high standards for safety. Please read thoroughly to help us maintain safe and informed programming.
Parent/Guardian Acknowledgement*
Participant Waiver*
I understand that I (or my child) am participating in the above program at our own risk. I will not hold Great Lakes Aquarium or its officers, directors, employees or volunteers liable for any negligence or alleged negligence or other fault (not including intentional acts) that results in personal injury, death, or property damage during or in connection with the above program. The undersigned, for myself and for my heirs, executors, administrators and assigns, hereby release and forever discharges Great Lakes Aquarium and its officers, directors, employees, and volunteers from all such claims. The waiver will be construed according to the law of the State of Minnesota.
Medical Release*
I hereby give my permission for Great Lakes Aquarium to procure all necessary medical help for myself, my child or ward while said person is under the direct supervision of Great Lakes Aquarium, and grant permission to its representatives to authorize any competent medical professional to do all things reasonably necessary to take care of any injury or sickness.

There is no health insurance or medical coverage provided. Checking the box below acknowledges that the participant/guardian accepts responsibility for payment of any medical treatment which may be required while they are in this program.
Location Waiver*
While most of the camp activities will be taking place at or on Great Lakes Aquarium property, the group may, at the camp teacher's discretion, walk to nearby locations for additional activities. These locations include, but are not limited to, Bayfront Festival Park and the surrounding areas.
Photo Release*

Payment

Completing this payment secures your place in individual classes or the full 12-week session.
Refund and Cancellation Policy*
If you need to cancel your registration for any reason, the following policy applies. Great Lakes Aquarium will refund 50% of the program fee for cancellations made at least two weeks before the class. For cancellations made less than two weeks in advance, refunds will be considered on a case-by-case basis.

Great Lakes Aquarium reserves the right to cancel this program in case of an insufficient number of participants or other unforeseeable circumstance.

If this occurs, all registered families will be notified upon determination that the program has been cancelled, and a full refund will be issued for all registered participants.
Are you the recipient of a Great Lakes Aquarium camp scholarship?*
Please enter the amount you will pay for camp (this is the amount indicated in your scholarship award letter).
Credit Card
Billing Address*

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353 Harbor Drive
Duluth, MN 55802

Phone: (218) 740-3474
Email: info@glaquarium.org

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