Mindful Children Christmas Party RSVP Form

We’re so excited to invite your child to a magical afternoon of mindfulness, play, music, movement, and winter-themed therapeutic fun!

During this event, children will participate in activities such as:

🌸 Dance, Music and Movement games
🌸 Guided Mindfulness Activities
🌸 Holiday-themed Hands-on Crafts
🌸 Social–emotional learning games
🌸 Musical and rhythmic games with live piano by Sofia Khalafi

🍧Healthy Food and Snacks, gifts and take-home bundles included!! 💝

Our goal is to create a safe, supportive, and joyful space where kids can build emotional and social skills while celebrating the season.

Activities are monitored by a multidisciplinary therapy team with extensive experience and training in working with children: Child Psychotherapists, Child Intervention Support Worker, In-training Psychologists, Child Piano Teacher and Programmer, Child Mindfulness coach, and others.

Date: December 12, 2025
Time: 5pm to 8pm
Location: 65 Oneida Crescent, Richmond Hill, ON L4B 0G9 (Party Room)

This event is ONLY for kids, ages between 4-12 years old. There is a waiting area for parents with view to the venue if you'd like to wait there and also have a sneak peek into the event! (refreshments included)

Fees: $50 per child

⭐ Please pay either by bank e-transfer to maryam@jariani.ca via Interac,
Or click here to safely pay with apple pay, google pay, or your credit card.

⭐ Payment should be completed within 2 hours of form submission to be registered and recieve a ticket!

Contact us:
Event Coordinator:
Sara Panahi 647-864-8675

Organizer:
Maryam Jariani 647-671-3001 | maryam@jariani.ca

Your Name and Last Name (Parent or Guardian)*

First NameLast Name

Email of Parent or Guardian*

example@example.com

Phone Number of Parent or Guardian*

Please enter a valid phone number.Format: (000) 000-0000.

Child's Name and Last Name*

First NameLast Name

How old is your child*

Emergency Contact*

Are there any current challenges you’d love extra support with (e.g., big feelings, anxiety, social skills, overwhelm around the holidays)?*

Does your child have any allergies? (Please list them here)

Does your child have any sensitivities or triggers (e.g., loud noises, separation, crowds), or accessibility needs?

Does your child have any medical conditions or health concerns we should be aware of?

📸 Photo & Video Permission

This event will include professional photography and short video recordings for memory-keeping and documentation. We will also send these photos to you to keep! These materials will not be shared publicly or used in any external publications without your explicit permission.

When photos or videos are shared with participating families or used in any program materials, we will blur or remove the faces of all children whose parents/guardians do not grant release permission.

Do you give us permission to share photos or videos that include your child?*

Yes, I give permissionNo, please do not share any photos or videos of my child

How would you like to pay? (payments should be completed within 2 hours of submission of the form, to receive a ticket)*

By e-transfer to maryam@jariani.ca via InteracPay with apple pay, google pay, or credit card via link https://book.stripe.com/28EcMY8Kj9Xh8Qz1gh0oM00Waved for 2nd sibling

Are there any other comments or suggestions you'd like to share with us?

My team and I are looking forward to creating a wonderful night, full of fun and learning for your little ones! See you there!

- Maryam Jariani