After School Capoeira (Pickup or Drop-off) Martial Arts - 2022 / 2023

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After School Capoeira (Pickup or Drop-off) Martial Arts - 2022 / 2023 - PreRegistration

Welcome and thank you for your interest in After School Capoeira Martial Arts. Our program is a great way for your child to release extra energy in a safe, fun, healthy, and constructive way. Children have fun learning the unique martial art of Capoeira while developing self-confidence and self-control all within a safe, positive, and nurturing environment.

We offer an exciting alternative to standard after-school care and we pride ourselves on providing a top-quality program where your child will become more fit, focused, disciplined, and self-confident! The children are immersed in a positive environment centered on all the benefits Capoeira has to offer:

Capoeira Activities:
• Capoeira movements & self-defense
• Anti-bullying & confidence-building activities
• Weekly life-skill curriculum
• Acrobatics: floor and trampoline
• Capoeira Music: learn how to play three different instruments and songs in Portuguese
• Capoeira history & cultural activities

After School Capoeira Includes:
o Free Transportation from school to our academy
o Quiet time for homework and reading
o Daily Capoeira class
o Free Extended pickup time until 6:15

PICKUP IS CURRENTLY PROVIDED AT THE FOLLOWING SCHOOLS (with additional schools to be added):
1. Millennia

2. Dr. Phillips

TBA: Shingle Creek, Windy Ridge

*School included are subject to change

PAYMENT PLANS:
**A limited number of full scholarships are available to students living in one of the following zip codes 32839, 32811, 32810, 32808, 32818** apply for a scholarship first here: https://forms.gle/aS2z9h7t7Edf2Kim9

WITH SCHOOL PICK UP: $95 per week (debited on the Friday before each new week)

WITHOUT PICK-UP FROM SCHOOL:
FULL-TIME (3-5 days per week): $85 per week (debited on the Friday before each new week)
PART-TIME (2 days per week): $65 per week (debited on the Friday before each new week)
PART-TIME (1 day per week): $45 per week (debited on the Friday before each new week)

REGISTRATION FEE:
New students: An $55 registration fee is due on the date of registration for the after-school program. This fee includes an official CBP uniform.

How Do I Enroll?
1. Completely fill out this online registration form.
2. A staff member will contact you within two business days to confirm availability and registration details
3. Make your first payment (if applicable) to secure your child's spot

A staff member will contact you within 48 hours to confirm your registration, confirm your child's spot in our program, and answer any questions you might have!

***COMPLETING THIS REGISTRATION FORM DOES NOT GUARANTEE YOUR CHILDS SPOT IN THE PROGRAM***

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Contact Information:
Capoeira for Tomorrow / CBP Martial Arts Academy Orlando
7075 Kingspointe pkwy Suite 10
Orlando, Fl 32819

Phone/Text: 321-710-7136
Email: Info@CBPorlando.com
Re

Parent #1 - Full Name *

Parent #1 - Phone *

Parent #1 - Email *

Parent #2 - Full Name

Parent #2 - Phone

Parent #2 - Email

Parent Work Phone Number(s) / Additional Contact Number *

Home Address *

Child Name - #1 *

Child Birthday - #1 *

YYYY

Child Name - #2

Child Birthday - #2

YYYY

Child Name - #3

Child Birthday - #3

YYYY

Emergency Contact Name & Relationship *

Emergency Contact Number *

Does your child(ren) have any allergies or health concerns? If so, please explain. *

Does your child require an EpiPen? *

Please provide details about your camper's anaphylaxis, including the date and description of the reaction.

Name(s) of all other person authorized to pickup your child (in addition to Parents & emergency contact) *

Which school will your child(ren) attend this coming school year? *

Grade & Teacher Name (if known) *

What Time is Your Child Released from School *

What Date would you like your child to begin? *

I understand that pickup will begin on or after my listed start date once I have received a confirmation phone call with a CBP staff member.

Additional Notes:

Please use this section for comments and questions.

Promo Code

If you have a promo code please enter it below. Remember, most promo codes are time-sensitive.

Are you applying for a scholarship?

Yes

Other:

Clear selection

Payment Plan Selection *

OPTION #1 – WEEKLY FULL TIME (3-5 days per week): $95 per week

OPTION #2 – DROP OFF WEEKLY FULL TIME (3-5 days per week): $85 per week

OPTION #3 - DROP OFF (2 days per week): $65 per week

OPTION #4 - DROP OFF (1 day per week): $45 per week

Scholarship WITH pickup from school (must attended a minimum of 3 set days per week to keep scholarship active)

Scholarship w/ parent drop off at the facility

General Terms of Agreement *

This registration agreement is executed as of the date registration is submitted, by and between Capoeira Brazilian Pelourinho, Inc, and Capoeira for Tomorrow Inc hereinafter referred to as CBP / CBP Martial Arts Academy / CFT, and the Responsible Party/Buyer named as Parent #1 or Parent #2, who has caused his/her signature or digital signature to be affixed hereto.

I agree to the above General Terms of Agreement

Required

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