Down Syndrome Association of Central New Jersey
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« All Events
Event Series
Event Series:
Cooking (Preteen and Under)
Cooking (Preteen and Under)
January 28, 2025 @ 5:00 pm
-
6:00 pm
«
Music together
Winter Top Soccer
»
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Date:
January 28, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
May 20, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
September 9, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
December 30, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
February 4, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
May 27, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
September 16, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
January 6, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
February 11, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
June 3, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
September 23, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
January 13, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
February 18, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
June 10, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
September 30, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
January 20, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
February 25, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
June 17, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
October 7, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
January 27, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
March 4, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
June 24, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
October 14, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
February 3, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
March 11, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
July 1, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
October 21, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
February 10, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
March 18, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
July 8, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
October 28, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
February 17, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
March 25, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
July 15, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
November 4, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
February 24, 2026
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
April 1, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
July 22, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
November 11, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
April 8, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
July 29, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
November 18, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
April 15, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
August 5, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
November 25, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
April 22, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
August 12, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
December 2, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
January 7, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
April 29, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
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Date:
August 19, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
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Date:
December 9, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
January 14, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
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Date:
May 6, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
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Date:
August 26, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
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Date:
December 16, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
Google Calendar
iCalendar
Outlook 365
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Details
Date:
January 21, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
Google Calendar
iCalendar
Outlook 365
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Details
Date:
May 13, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
Google Calendar
iCalendar
Outlook 365
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Details
Date:
September 2, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
Add to calendar
Google Calendar
iCalendar
Outlook 365
Outlook Live
Details
Date:
December 23, 2025
Time:
5:00 pm - 6:00 pm
Series:
Cooking (Preteen and Under)
Organizer
Club DREAMS team
Email
Clubdreams@dsacnj.org
View Organizer Website
Venue
Club DREAMS
25 Scotch Rd., Suite H
Ewing
,
NJ
08628
United States
+ Google Map
Phone
6095353696
View Venue Website
REGISTER FOR IN PERSON HERE
REGISTER FOR IN PERSON HERE
There were errors with your submission. Please try again.
First Name*
Last Name*
Age
Address
Email*
Phone*
To allow us to continue to understand and adapt to the needs and barriers of our participants we ask you to consider answering the following optional demographic data collection questions. As a nonprofit, grant support is a large percent of our funding and this demographic data is key to grant requests.
Race
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Primary language spoken at home
Does your family experience economic hardship?
Yes
No
Does your family experience transportation difficulties or lack of access?
Yes
No
How many participants will be attending?
Please pay below with purchase of tickets for all attending if this is a paid program.
Do you permit photos and allow Club DREAMS to utilize for marketing?*
Will you child need assistance in the bathroom? If so, do you permit Club DREAMS staff to assist?*
Allergies? Other things we should know?*
Provide Emergency contact number for 2 people.*
Are you planning on attending weekly or occasionally? If weekly please contact us if there is a week you are not attending, if sporadically you must register for each week attending.*
Please tell us about your child and how we can best support them.*
Does your child have Down Syndrome, Autism, other condition- please provide more info so we can best support your child.*
-Any member(s) under the age of 6 years old must have an adult accompany them at all times within the suite, with the exception of select designated times such as Kids Night Out events. Guardians may help themselves to refreshments and relaxation in the welcome area. -Any member(s) between the ages of 7-10 may be dropped off at the center, with the exception that an adult guardian must stay within the Suburban Square shopping plaza and can be reached immediately by phone if needed (with the exception of designated events such as Kids Night Out). -Member(s) ages 11+ may be dropped off at the center, and adult guardians must be able to be reached by phone if needed.*
How did you hear about us?*
Are you a DREAM team member? (DREAM team is a membership through which community members with special needs or siblings may participate in our programs even if they are not DSACNJ members). Not a DREAM team member but want to join? Click on the link above at the bottom of the program description.*
Are you participating in a program or event through our DREAM team membership?*
Best method to contact
Text
Email
Phone
Other
General Release Form*
Check the box to acknowledge and accept the General Liability Clause*
Read the detailed General Liability Clause
Your Name (Being served as a signature)*
Address
If you are a human, do not fill in this field