Enroll at Momentum Dance Concepts

Please submit one form per person:

What course schedule are you registering for?*

Tell us about the type of class(es) you might want to take (ex: Swing, Lindy Hop, Ballroom, etc)*

First Name*

Last Name*

Parent or Guardian (if under 18)

Address*

City*

State*

ZIP Code*

Primary Phone Number*

Secondary Phone Number

Email Address*

Do you check your email enough for this to be an effective way to receive communications from the studio?*

Yes

Birthday

Day

Month

Year

Grade (if in school)

How did you find out about us?

Click here to download a Release Agreement & Studio Rules Agreement.

This agreement must be printed, signed, and brought to your first class.

I understand that my electronic enrollment form will be null and void if not accompanied by a printed and signed version of the Release Agreement and Studio Rules Agreement below. I will bring this signed agreement to the first class I attend.

Have questions? You can always contact us prior to enrolling.

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Testimonials

I'm very shy, so the lessons help me come out of my shell. When I'm at MDC I truly feel like I am safe.

- R. Cameron Ballantyne