Blossom Musik – Move and Groove

Name: Blossom Musik – Move and Groove
Start: 2024-05-07T18:00:00+00:00
End: 2024-05-07T19:00:00+00:00
Location: Imaginasium Ancaster

May 7 @ 6:00 pm – 7:00 pm

$8 per date

Move and Groove Registration Form

Parent/Guardian Name *

First

Last

Participant Name *

First

Last

Participant Age

This program is most suitable for ages 2-10.

Sibling Waitlist

Siblings between ages 2-10 may be able to attend if space permits. If you wish to put a sibling on the waiting list, please enter their name and age here.

Email *

Phone *

Registration Fee *

May 7 – $8.00
May 14 – $8.00
May 21 – $8.00
May 28 – $8.00

Your registration fee covers your playground admission, music entertainment, light refreshments and access to private party room. You do not have to pay at Imaginasium.

Total *

Order Summary
Item	Quantity	Total
There are no products selected.
Registration Fee – May 7	1	$8.00
Registration Fee – May 14	1	$8.00
Registration Fee – May 21	1	$8.00
Registration Fee – May 28	1	$8.00
Total		$0.00

Credit Card *

Card

Name on Card

Signature *

Parents – children are your responsibility. You must supervise at all times and you acknowledge that DSAH and Blossom Musik are not responsible for accidents or injuries incurred while at the playground.You agree to follow the rules and safety precautions as provided by Imaganasium Ancaster.

DSAH

View Organizer Website

contactus@dsah.ca

Imaginasium Ancaster

680 Tradewind Drive – Unit 6
Ancaster, ON L9G 4V5 Canada + Google Map

Blossom Musik – Move and Groove

May 7 @ 6:00 pm – 7:00 pm

DSAH

Imaginasium Ancaster

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