10:00 AM – 11:30 AM
1:00 PM – 2:30 PM
DJD Dance Centre, Calgary, AB 111 12th Ave SE
Regular Rate $150.00
Low Income Rate: $75.00
Are you new to Momo Movement or a returning dancer? *
---New to MoMo MovementReturning Dancer
Which class would you like to go to? *
Tuesday 10:00 am - 11:30 amTuesday 1:00 pm - 2:30 pm
Dancer's First Name *
Dancer's Last Name *
Contact Phone Number *
Contact Email Address (where should we email registration & class information?) *
First Name *
Last Name *
Phone Number *
Email Address *
Relationship To Dancer
This section is optional
Full payment is due 3 weeks before classes begin, a reminder email will be sent out.
Payments can be made by cheque, Paypal or e-mail money transfer.
Cash payments can be made in class on the first day, if arrangements are made in advance. Contact email@example.com to make arrangements.
Cheques should be made payable to MoMo Mixed Ability Dance Theatre.
Paypal and e-mail transfer address: firstname.lastname@example.org Please make "dance" the answer to the security question.
Please reference the participant's name, and class date and time on all payments.
Payment Method *
CashChequeEmail Money TransferPayPal
Which class rate will you be paying? *
Regular Rate $150.00Low Income Rate
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 you have questions, please contact email@example.com