Full Name *

Email *

Phone *

City

Postal code

Interested in? *

Group Classes

Private Lessons

Both

How many students? *

Age of each student(s) *

Would you like to train as a family?

Yes

What is your previous Capoeira / Martial Arts Experience?

Group Rank
Total Years Practiced

What is your availability?

Best time to train?
Best day to train?

Are you able to join our weekly sessions every Tues & Thurs @ 5:30PM? (445 E Windmill Ln, Unit 2J) *

Yes

What is your Instagram handle (username)?

Why are you interested in Capoeira? *

What are your goals and what are you looking to accomplish with us? *

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