LALA/Hoffy Zoo-Aquarium of the Pacific Reward
March 13 -26, 2019

OFFICIAL REGISTRATION FORM

Name/Nombre: Address/Dirección: City/Ciudad: State/Estado: Zip/Código postal: Contact number/Teléfono De Dia: Email/Correo electrónico : Confirm Email:
Date of Birth/Edad - I am at least eighteen (18) years of age at the beginning of November 28, 2018 (Soy mayor de 18 años apartir de Noviembre 28, 2018) and legal residents of California.
Instructions for Uploading Your Receipt:
1. Click the "Choose File" button below.
2. Find the image file of your receipt on your phone or computer.
3. Select Choose or OK.
4. Wait for the system to upload your receipt image.
5. Check the "I'm not a robot" box.
6. Click Submit.