Secure your spot! Thank you for your interest in Movement to Music (M2M)! Complete this form to secure your spot and our team will be in contact shortly to assist you in getting started. Name(Required) First Last Email(Required) Phone(Required)Are you able to walk across the street with or without a mobility device?(Required) Yes No Are you able to raise both of your arms to shoulder height independently?(Required) Yes No Does November 3rd, 2025 Monday, Wednesday, and Friday from 12-1 PM CST work for you?(Required) Yes No Select the time that works best for you.(Required) October 13th, 2025 Monday, Wednesday, and Friday from 11 AM-12 PM CST November 3rd, 2025 Monday, Wednesday, and Friday from 12-1 PM CST None of these times work Select the time that works best for you.(Required) October 13th, 2025 Monday, Wednesday, and Friday from 12:30 PM-1:30 PM CST November 3rd, 2025 Monday, Wednesday, and Friday from 12-1 PM CST None of these times work You will need to complete a short survey before joining. How would you like to complete this survey?(Required) Email (with survey link) Phone (complete over a phone call) We are sorry that this time does not work for you! Please select the "submit" button to be added to the waitlist for M2M and be contacted at a later date. If you have any questions, please contact nchpad@uab.edu or 866-866-8896.Please select the "submit" button. You will receive a survey in your email within 24 business hours as long as you are enrolled in NCHPAD Connect. If you do not receive this email, please contact nchpad@uab.edu or 866-866-8896.Please select the "submit" button. A member of the NCHPAD Team will contact you via phone within 24 business hours between Monday-Friday 7 AM-7 PM CST. Δ