9 – 12 Years Old: 9:15 AM – 10:15 AM
13 – 17 Years Old: 10:30 AM – 11:30 AM
DJD Dance Centre, Calgary, AB 111 12th Ave SE
Are you new to Momo Movement or a returning dancer? *
---New to MoMo MovementReturning Dancer
Which age group do you belong to? *
9 to 12 years old - 9:15 am to 10:15 am12 to 17 years old - 10:30 am to 11:30 am
Which class would you like to go to? *
Saturday, February 23Saturday, March 16Saturday, April 27
Dancer's First Name *
Dancer's Last Name *
Contact Phone Number *
Contact Email Address (where should we email registration & class information?) *
Will a support person be attending class with the dancer?
Name of support person attending class with the dancer
First Name *
Last Name *
Phone Number *
Email Address *
Relationship To Dancer
This section is optional
I, as named above, hereby release MoMo Mixed Ability Dance Theatre from any claims, demands and causes of action as a result of my participation or enrolment in the program; participate in all MoMo activities at my own risk; assume all risk involved, including but not limited to all lost or stolen property, cost, claim, injury, damage or liability sustained while participating.*
I, as named above, give permission to MoMo Dance Theatre and media representatives invited by MoMo Dance Theatre, to take photographic and video images of me while I am participating in MoMo Dance Theatre facilitated classes, workshops and performances.I recognize that these images could be used in several ways, including but not limited to: 1. Promote MoMo Dance Theatre 2. Educate people about MoMo Dance Theatre 3. Demonstrate what MoMo Dance Theatre does and is about 4. Include in the portfolio of the photographer/videographer who captured the imagesI retain the right to rescind the permission granted by signing this form at any time.*
Once you hit the Register button at the bottom of the page, your registration form will be complete.
Confirmation and payment emails are sent out once a week on Thursdays.
If your chosen class is full, you will get the next spot on the waiting list and we will let you know!
If you have questions, please contact firstname.lastname@example.org