Registration Form
9TH ANNUAL ARTELUTA CAPOEIRA FESTA DE BATIZADO & ENCONTRO DE CAPOEIRA

Please provide us with your information below, so we can do our best to make a great experience for everyone involved.
Sign in to Google to save your progress. Learn more
Your Name (first & last) *
Your Capoeira Nickname (if you have one), include title (if you have one) *
Name of your capoeira teacher *
Name of your capoeira school *
Your email address *
Your phone number *
Do you plan to attend: *
Required
T-shirt Size. NOTE: If you are registering after 11/01, an event t-shirt is not guaranteed - sorry! *
Emergency contact & their relationship to you *
Emergency contact phone number *
Will you be needing housing? *
WAIVER
I wish to participate in the 2019 ArteLuta Festa de Batizado & Encontro de Capoeira. I understand that martial arts and related activities such as CAPOEIRA involve strenuous exercise, personal body control and contact. As a condition to participate in this event, I assume the risk of all injury to myself; I agree to hold the school, its employees and guests harmless from any and all liability (including attorney's fees and costs) for all claims, action or damages due to injuries suffered by me or caused to someone else by me, arising out of capoeira and related activities, whether occurring at ArteLuta Capoeira Academy or other facilities used. This Waiver and Assumption of Risk does not apply to claims, actions or damages caused by the gross negligence or intentional act or omission of ArteLuta Capoeira.

I agree to my image being captured, whether on film, video, or by photograph, during the course of the event.

Further, I agree NOT to film or record any portion of the event without prior approval from the administration.
*
Required
Any comments, messages, questions?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms