Sensory Friendly Screening of Superpower Dogs Registration

For a child with autism and their family, a movie out can be daunting if not impossible.

Rotary Club of Victoria-Harbourside and IMAX Victoria are pleased to be hosting youth and their families
to a private Sensory-Sensitive-Screening (SSS) of the Superpower Dogs on 9:00 AM, Saturday, August 24th.

The Sensory-Sensitive-Screening will be played at a lower volume, with some lighting on
and with movement encouraged. There will be service dogs on site.

Registration is by referral only. Please use the form below to complete registration.

For questions or concerns, please contact Lea Silver, Sales and Membership Manager at IMAX Victoria: lsilver@imaxvictoria.com or 250-480-4887 ext 3

Please note that a confirmation will be sent to you to confirm availability. Completing this registration form does not guarantee tickets to the event.
Which organization made you aware of this event? *
If other, please specify.
Your answer
Name of Youth (First and Last) *
Your answer
Phone Number for Family *
Your answer
Email Address for Family *
Your answer
Is a Wheelchair Stall required? *
Total Number of people in the party (Maximum 3 additional people beyond the referred youth) Please provide the total number INCLUDING the Youth. *
Your answer
Any Questions? A pre-event email will be sent to all attendees with the answers to these questions.
Your answer
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