Grupo Capoeira Mandinga Tucson Batizado 2020 Date Registered*Please enter today's date. Date Format: MM slash DD slash YYYY How many people are you registering?*Please enter how many family members are participating/registering together.123456Name of Participant 1* Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 1: Age (Minors Only)Please enter age if the participant is under 18.Participant 1: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 1: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 1: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 2 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 2: Age (Minors Only)Please enter age if the participant is under 18.Participant 2: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 2: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 2: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 3 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 3: Age (Minors Only)Please enter age if the participant is under 18.Participant 3: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 3: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 3: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 4 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 4: Age (Minors Only)Please enter age if the participant is under 18.Participant 4: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 4: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 4: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 5 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 5: Age (Minors Only)Please enter age if the participant is under 18.Participant 5: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 5: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 5: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 6 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 6: Age (Minors Only)Please enter age if the participant is under 18.Participant 6: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank.Participant 6: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank.Participant 6: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the full event price. Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLAddress* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Emergency Contact Name* First Last Emergency Contact Phone*Workshop and Batizado PricesFull event prices (Thursday, Friday, Saturday & Sunday for Adults/Teens or Friday, Saturday & Sunday Tykes/Kids) include workshops in capoeira, dance, music, rodas, Batizado, t-shirt and post Batizado BBQ and potluck. Batizado starts Sunday at 1:00 PM. Batizado is free for friends and family to attend. Partial event prices listed below. Need-based youth scholarships are available - please ask Mestra Luar at Luar@CapoeiraTucson.com.Mestre/a, Contra Mestre/a, Professor/a Price: $0.00 Quantity: Full Event Teen/Adult for Visitor/Non CMT (13+) Price: $100.00 Quantity: Full Event Kid for Visitor/Non CMT (6-12) Price: $50.00 Quantity: All Saturday Events Adult/Teen for Visitor/Non CMT (13+)Includes workshops in capoeira, dance, music and rodas. Price: $75.00 Quantity: All Sunday Events Adult/Teen for Visitor/Non CMT (13+)Includes workshops in capoeira, dance, music, batizado, rodas and t-shirt. Price: $75.00 Quantity: Sunday/Batizado Roda for Visitor/Non CMTIncludes t-shirt (required) Price: $40.00 Quantity: CMT Full Event Adult/Teen (13+) Price: $140.00 Quantity: CMT Full Event Kid (7-12) Price: $125.00 Quantity: CMT Full Event Tyke (4-6) Price: $85.00 Quantity: Event T-ShirtAll sizes will be available for pickup at the event. Please note that all except the single Saturday workshop or roda include a t-shirt in the registration price. Price: $25.00 Quantity: Do you need a place to stay?People coming from out of town can request housing from capoeiristas in our group.*ASSUMPTION OF RISKS AND PERSONAL RESPONSIBILITYI, the participant(s), desiring to participate with the above named organization, do so at my own risk, realizing athletic participation in general can increase the risk of injury and that capoeira in particular has its own unique risk factors. By permitting me to participate in classes, workshops, performances and/or related programs or events, the Capoeira Institute and Capoeira Mandinga Tucson do not assume responsibility for any risks, injuries or damages incurred by me as a result of participating. I fully understand that I shall bear full responsibility for the consequences of my own actions. I knowingly, voluntarily and expressly waive any claim I may have against the Capoeira Institute and Capoeira Mandinga Tucson for injury or damages that I may sustain as a result of participating in the program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in the classes, workshops, performances or events. I understand and agree: to follow instructions and act respectfully towards instructors and other students (parents are expected to help implement this rule for minors); to pay in full the fees for the respective workshops, batizado and events (fees are non-refundable); Capoeira Institute and Capoeira Mandinga Tucson are not responsible for money or items lost or stolen, damaged or left behind in the studios or performance sites; Capoeira Institute and Capoeira Mandinga Tucson may use video and/or photographs taken during workshops or performances for publicity and/or advertising purposes without payment due; video taping is not allowed without the express permission of Capoeira Mandinga Tucson. Name of Participant(s) or at Least One Parent/Guardian if Participant is Under 18 Years of Age*By typing the name of the participant(s) or the name of at least one parent/guardian if the participant is under 18 you are agreeing that you have read and agree to the above Assumption of Risks and Personal Responsibility. First Last First Last Date* Date Format: MM slash DD slash YYYY Total Amount DueTotalTotal Amount Due for the Batizado $0.00
