Spring 2018 Youth Batizado

Registration Page

Child's Name

First Name

Last Name

Child's Capoeira Nickname

If child has no nickname yet, type "None."

Child's Date of Birth

MM

DD

YYYY

Child's Gender

Male

Female

Child's Training Location

Child's Cord

Child's Age Group

Child's T-Shirt Size

Parent's Info

Parent's Email Address

Parent's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special Notes

Payment Type