Friends of Wildlife Sponsorship Form

Shubenacadie Provincial Wildlife Park: Daily/Season Pass Orders Please fill out this form clearly and completely.
	Summer Season Passes (valid May 15 - October 15, 9am -6:30pm)		Winter Season Passes (valid weekends only ) (October 16 -May 14, 9am - 3pm)
	Family*	$34.00	Family*	$21.00
	Adult	$14.25	Adult	$8.00
	Youth (6-17 yrs)	$5.00	Youth (6-17 yrs)	$4.00
	Family (Day)	$11.25	Family (Day)	$8.00
	* Family = 2 adults + 3 youth + unlimited 5 and under

Wildlife Park T-shirts - $12.50 ea
Preferred T-Shirt Color: White Light Blue Sand Indigo
T-Shirt size: Small Medium Large Extra Large
Payment Enclosed: Check Money Order

Season Passes or T-shirts maybe purchased as gifts and will be forwarded to the individual as indicated below.

Name(s) to appear on Gift card:
Package to be forwarded to: Name Listed Above Name and Address Listed Below
Name
Address
City		Province
Postal Code		Country
Phone:		Email:

(Season passes and/or T-shirt prices include taxes and shipping and handling charges) Mail along with payment to the address below. Provincial Wildlife Park PO Box 299 Shubenacadie, NS, B0N 2H0 Note: The privacy rights of online visitors to our Website are fully protected by Nova Scotia's Freedom of Information and Protection of Privacy Act. Any personal information collected from visitors relates directly to the operation of programs and will not be used for any other purpose. To obtain access to or correct personal information you have submitted, use this form to send your request. Privacy Policy Privacy Statement All personal information is kept strictly confidential and will not be used for any other activity or purpose.