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Pump It UP! March Break Programs Registration Form

Note: This program is over
Get your heart pumping and your brain working with hands-on activities about physical fitness! Participate in action-packed learning about your respiratory, circulatory, and muscular systems—and find out why your body in motion is so amazing! Suitable for ages 6 - 12 (parents welcome). Pre-registration required.

Location: Museum of Health Care, Ann Baillie Building National Historic Site (32 George Street)
Times & Dates: Wednesday, March 13, 10-noon (closed), OR
Thursday, March 14, 10-noon (closed),OR
Friday, March 15, 10-noon OR
Friday March, 15, 2-4 pm
Cost: $5/partipant (no charge for adults)
Information: Please call (613) 548-2419 or email info@museumofhealthcare.ca

Your name *
Phone Number ### - ### - ####
Email *
Name(s) and age(s) of March Break Program participants: *
Which session would you like to attend? *
Wednesday, March 13, 10:00 am to noon (closed) Thursday, March 14, 10:00 am to noon (waiting list room only) Friday, March 15, 10:00 am to noon Friday, March 15, 2:00 pm to 4:00 pm
How many adults will be accompanying participant(s)? Please indicate a number 0 to 4
The Museum of Health Care welcomes participants of all abilities. Please provide any information about the partcipants' learning styles and needs that may help us make their visit an optimal one:
Additional information you would like us to be aware of, such as severe allergies (please note: the Museum of Health Care cannot guarantee an allergen-free environment, but we do strive to maintain a safe and healthy environment for all participants)
How did you hear about this program?
Do Not Fill This Out

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