Online Capoeira (Kids & Adult) Winter Session 2022 Registration.
Please fill out this form to register you or your  child for the Capoeira online Winter 2022 session.
- KID ONLINE Wednesdays  6:30-7:30 pm -  All Levels Capoeira Contramestre Hakim
-  ADULT ONLINE Wednesdays  7:30-8:30 pm -  All Levels Capoeira w/ Contramestre  Hakim

* Classes will start on January 5th, 2022
Fees: 5 Classes for $60  | Drop in $15

**Upon completion of this registration form payment should be made via Paypal: rodamovements@gmail.com or CashApp $rodamovements (please include Online Capoeira 2022  in the notes)**
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Please select the session that you or your child will be attending
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Name | Child's Name *
Parent/Guardian Name (if is a kid) *
Email | Parent/Guardian Email *
Phone Number | Parent/Guardian Phone Number *
Emergency Contact Name (Other than parent)
Emergency Contact Phone Number
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