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Amount

  • Single Ticket
  • Two Single Tickets
  • Table of Eight
Did you know that by covering the processing fee, Easter Seals Ontario will be able to help more kids with physical disabilities succeed?

Payee Information

Name

Contact Information

Additional Questions


What is your date of birth?


* Please let us know which dancer are you coming out to support:


Would you like to be seated at their table if space is available?


Do you know the names of the guest coming with you? Please list the name(s) of your guests.


Do you have or know of anyone with dietary restrictions? Please list out their names.


Payment Information

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Do you need help making your donation? Find assistance here.

If you have any questions about your invoice or using this form please contact us at info@easterseals.org.