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CAPOEIRA ARTE
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Capoeira Arte
Registration Form
Full Student Name *
Date of Birth *
Gender *
Prefer not to say
Female
Male
E-mail Student Aged 18 +
Phone Number *
Student
Parent Guardian
Phone number *
Is the Student Under 18? *
Yes
No
Parent / Guardian Name (if applicable)
Phone Number (Parent/Guardian if under 18)
Email Address (Parent/Guardian if under 18)
Additional Notes (Optional): (Any allergies, special needs, or info we should know)
Select Your Class *
Capoeira Kids (Aged 3โ10) โ 6:30 PM
Capoeira Adults & Kids (Aged 12+) โ 7:30 PM
Capoeira Music / Instruments โ Waiting List
Free Trial
Capoeira (Personal Trainer/Private)
*Consent (for students under 18y.o) *
We understand that Capoeira classes can include physical contact. While we implement thorough safety measures, we acknowledge that accidents may occasionally occur. At Capoeira Arte, our commitment is to minimize the risk of such incidents as much as possible.
I authorize the use of photos or videos of my child for social media, marketing, and promotional purposes and mine photos and videos.
*Consent Students 18 + *
We understand that Capoeira classes can include physical contact. While รฉ implement thorough safety measures, we acknowledge that accidents may occasionally occur. At Capoeira Arte, our commitment is to minimize the risk of such incidents as much as possible.
I grant permission for my photos and videos to be used for social media, marketing, and promotional activities.
Send me a copy
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E-mail
info@capoeiraarte.com
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