2026 Community Event: Potter Park Zoo

Potter Park Zoo

1301 S Pennsylvania Ave, Lansing, MI 48912

Lansing Community Event

June 13, 2025

9:00am Zoo Opens

11:30am - 2:30pm Programming and Lunch

5:00pm Zoo Closes

Please plan your visit accordingly so you have time to enjoy the zoo as well as join us for lunch and our educational programming.

We are so glad you are joining us for our our Lansing Community Event!

Please fill out the registration below

Number of Adults

Name

First NameLast Name

Michigan Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Email

example@example.com

Phone Number

Format: (000) 000-0000.

2nd Adult

First NameLast Name

3rd Adult

First NameLast Name

4th Adult

First NameLast Name

Number of Children

First Child

First NameLast Name

Second Child

First NameLast Name

Third Child

First NameLast Name

Fourth Child

First NameLast Name

Fifth Child

First NameLast Name

Sixth Child

First NameLast Name

Seventh Child

First NameLast Name

Special dietary needs/allergies (We will do our best to accommodate):

Photo and Video Release

Why We Ask:

It is HFM’s pleasure to host community members at various events throughout the year. By documenting these events through photo and/or video we hope to maintain a historical record of community activities, share photos for future events or activities, and promote fundraising efforts that support HFM events and services. It is a joy to reminisce when looking through photos, we hope to preserve community memories and moments.

Please select one:

I consent to and authorize the use and reproduction, in print or electronic format by the Hemophilia Foundation of Michigan (HFM), or anyone authorized by HFM, of any and all photographs or video of me/my child(ren) which have been taken for this event, for any publicity, without compensation. I understand that all images and quotations of/by me/my child(ren)—electronic, print, and recordings—are owned by HFM which may publish or use them in any professional manner, including, but not limited to: print publications, websites, social media, and broadcast media. I acknowledge that I am 18 years of age or older and have read and understood the terms of this release.

Signature

HFM relies on donations from community members and supporters to provide programs like Community Nights and other services to all members of the Michigan bleeding disorders community. Please consider making a donation to assist those in need and to assist HFM in continuing to offer programs and services. Your contribution will provide education, meals, transportation assistance, and endless opportunities for connection between Michigan community members.

Calculation

Payment Information

USDTotal

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

You can make a difference!

Payment Information