Capoeira Mandinga Tucson/Capoeira Institute Southwest Batizado 2023 CMT students register for the batizado at our Capoeira Mandinga Tucson Academy or by contacting Mestra Luar at Luar@CapoeiraTucson.com, but enter to win below!Enter to win and help support this event! Then register below. All registered for the full event are automatically entered to win an authentic Brazil-nut AgogoThere are three amazing prizes! Each ticket is $15. All tickets purchased for a specific prize will be entered to win that prize only. Junior/Youth Berimbau ($80 value, made in Salvador, Bahia from biriba) Quantity Price: $15.00 Quantity Full Size Médio Berimbau ($140 value, made in Salvador, Bahia from biriba) Quantity Price: $15.00 Quantity 10” Wood & Leather Pandeiro ($120 value) Quantity Price: $15.00 Quantity Date Registered*Please enter today's date. 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLName 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLName 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLName 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLName 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLName 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 $39.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 (Friday, Saturday, Sunday) for Adults/Teens or Kids include workshops in capoeira, music, rodas, Batizado, t-shirt and post Batizado BBQ and potluck AND entry to win an authentic Brazil-nut Agogo. Batizado is FREE for friends and family to come watch. Need-based youth scholarships are available - please ask Mestra Luar at Luar@CapoeiraTucson.com.Mestre/a, Contra Mestre/a, Professor/a Quantity Price: $0.00 Quantity Full Event Teen/Adult (13+) Quantity Price: $135.00 Quantity Full Event Kids (4-12) Quantity Price: $105.00 Quantity All Friday Events - Kids/Teens/Adults QuantityIncludes workshops and rodas. Price: $59.00 Quantity All Saturday Workshops - Kids/Teens/Adults Quantity Price: $59.00 Quantity Saturday Rodas and Batizado QuantityIncludes t-shirt (required) Price: $39.00 Quantity Event T-Shirt QuantityShirts will be available for pickup at the event. Please note that event t-shirt is required for Batizado rodas. Single day prices do not include event t-shirt. Price: $39.00 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. I understand that Mask-wearing is requested, but is not required. By permitting me to participate in classes, workshops, performances and/or related programs or events, the Capoeira Institute Southwest 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 Southwest 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 Southwest 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 Southwest 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. COVID SAFETYMask-wearing is requested, but is not required. Our event is indoors, with several room air filters and air flow through open doors to the outside. 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* MM slash DD slash YYYY Total Amount DueTotalTotal Amount Due for the Batizado $0.00
