2026 Registration Form

Full Name*

Email*

Age Range*

18-24

25-34

35-44

45-54

55+

Gender

Male

Female

Home Zip Code

Emergency Contact Full Name*

Emergency Contact Relationship to You*

Emergency Contact Phone Number*

Workout Tank Size (Unisex Fit)*

2XL

3XL

How did you hear about Move & Groove?*

Social Media (instagram, tiktok,...)

Website

Friend/Family

Flyer

Community Partner

Other

What are you hoping to gain from this program experience?*

Fitness Motivation

Community

Stress Relief

Better Health Habits

Fun/Enjoyment

Other

Do you have any injuries, health concerns, or physical limitations we should be aware of?

Participation Waiver: I understand that Move & Groove involves physical activity. I voluntarily participate at my own risk and release MudiaCaters, its partners, staff, and volunteers from liability for injuries or accidents that may occur during the program.*

Yes, I understand.

Media Release Consent: I understand that photos and videos may be taken during Move & Groove 2026 for media, marketing, and promotional purposes. I give MudiaCaters permission to use my image, likeness, and/or voice in promotional materials, social media, website content, and future event marketing.*

Yes, I consent.

No, I do not consent.

Attendance Commitment: I understand that Move & Groove is a 4-week program, and I commit to attending consistently to get the most out of the experience and remain eligible for raffle prizes.*

Yes, I commit.

Thank you for being interested in Move & Groove 2026! This is MudiaCaters’ annual 4-week dance and wellness program designed to inspire movement, healthy living, and community connection. Please complete the form below to secure your spot.

Program Dates: Every Friday in July 2026

July 3rd, 2026

July 10th, 2026

July 17th, 2026

July 24th, 2026

Location:

The Match High School Center

1401 Indiana Ave

Indianapolis, IN, 46202

Event Time: 7pm - 8:30pm EST.

Free Entry (Registration below is required)

Fitness Dances: Hip-hop, Zumba, Afrobeat, etc.