FORMS Annual Membership Form - Family Pass

Fill in this form if you purchased a Butterfly Creek Annual Family Pass to complete your membership.

First name (of main account holder):*
Last name (of main account holder):*
First & Last Names of all family members*
Member 1 Member 2 Member 3 Member 4
Date of birth of all family members*
Member 1 Member 2 Member 3 Member 4
Family photo ID*
Please upload a family photo for your membership card. Make sure to include all members clearly in this photo.
Postal address*
City*
Postcode
Contact email*
How did you hear about our Annual Membership pass?*
Comments
Terms & Conditions*
- I accept the above Terms & Conditions
· Membership privileges are available only on presentation of your current membership card · Only those named and photographed on the card are able to use their membership to gain entry to Butterfly Creek exhibits · Your personal ID is non transferable · Membership cannot be used in conjunction with Butterfly Creek group bookings · Membership cannot be used for a child attending a birthday party booked through the Butterfly Creek party packages · Membership is current for one year from date of issue but may commence immediately once registration is complete · Replacement Cards will incur a $5.00 fee

Member 1	Member 2	Member 3	Member 4

Member 1	Member 2	Member 3	Member 4