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 firstname.lastname@example.org to make arrangements.
Cheques should be made payable to MoMo Mixed Ability Dance Theatre.
Paypal and e-mail transfer address: email@example.com 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 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