2023 Takoma Park MOVES Drop In Registration

Saturdays 11:00 AM – 12:00PM ET

Sliding Sclae Cost: $5 - $25 per class

Pay-It-Forward Rate: $25 per person

Standard Actual Cost Rate: $10 per person

Supported Rate: $5 per person

Or save by registering for the full season or the full year.

(details below)

Are you or anyone else you're registering attending Takoma Park MOVES for the first time in our 2025-2026 season today (September 13, 2025-May 23, 2026)?*

YesNo

Participant Name*

First NameLast Name

Participant Age (or age range)

Participant Email*

example@example.com

Participant Phone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dance Exchange Mailing List

Yes, please add me to Dance Exchange's mailing list (you can unsubscribe at any time).

Please list the name(s) and age range of anyone else you're registering today.

Do you live or work in Takoma Park? Select all that apply.

LiveWorkOut of the area

How did you hear about our program?

Emergency Contact *

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.

MEDIA RELEASE: I, hereby grant to Dance Exchange the irrevocable and unrestricted right to use and publish, alter, and copyright quoted material, photographs or video images of myself, audio recordings, text/writings/drawings I produce for Dance Exchange publications, electronic reproductions (website) and/or any other purpose and in any manner or medium an unlimited number of times in perpetuity for any lawful purpose. I hereby release the photographer/videographer/documenter and the Dance Exchange from all claims and liability relating to said photographs/video/audio/text. I understand that the Dance Exchange will exercise care in protecting the context of quoted material or image. I understand that I will not receive any monetary compensation for the permissions I am granting herein. I understand cannot withdraw this consent after I sign this form and that this consent and release is binding.*

I agree

LIABILITY RELEASE: I acknowledge that I have voluntarily enrolled myself in this program and assume responsibility for all risks of injuries resulting from our participation in activities with Dance Exchange. I certify that I am physically and mentally capable of participating in these activities. I hereby represent that I have informed Dance Exchange of any pertinent medical conditions that may affect participation in these activities, including but not limited to classes, rehearsals, performances, or related events. I voluntarily agree to release, discharge, and hold harmless Dance Exchange for any and all claims of liability which causes injury, whether based on allegations or not, in any way. Should emergency medical services become necessary for the undersigned participant, the expenses are the sole responsibility of myself and not that of Dance Exchange. I understand that this is the entire agreement between myself and Dance Exchange, its owners, officers, board, agents, and employees and that it cannot be modified or changed in any way by the representatives or statements by Dance Exchange or by myself.*

I agree

Select payment option, adjusting quantity based on how many participants you're registering. *

PAY ONLINE: Single Class Fee (Pay-It-Forward Rate)This rate helps cover your participation and supports scholarships for others. If you are able to contribute at this level, you help make the class series more accessible for all.

$25.00 Quantity

PAY ONLINE: Single Class Fee (Standard Actual Cost Rate)This reflects the actual cost of running the class series. Choosing this rate helps us sustain the full scope of the program.

$10.00 Quantity

PAY ONLINE: Single Class Fee (Supported Rate)This reduced rate is available for those who need it. We invite you to select this option if the standard rate presents a barrier to participation.

$5.00 Quantity

PAY CASH or CHECK at DOOR: Single Class Fee (Pay-It-Forward Rate)Adjust the quantity based on how many people you're registering. Hand cash or check to registration desk.

$ Free Quantity

Takoma Park MOVES Full Year RegistrationRegistration for all in-person Takoma Park MOVES classes between September 13, 2025 through May 23, 2026

$150.00 Quantity

Takoma Park MOVES - Fall/Winter only RegistrationRegistration for all in-person Takoma Park MOVES classes between September 13, 2025 - December 20, 2025

$60.00 Quantity

Takoma Park MOVES - Winter/Spring only RegistrationRegistration for all in-person Takoma Park MOVES classes between January 10, 2026 - May 23, 2026

$80.00 Quantity

Optional DonationConsider making a donation to help keep Takoma Park MOVES low-cost for everyone.

$20.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Takoma Park MOVES Registration

Which Class Date?

Participant Information

Emergency Contact Information

Liability and Media Release

Payment