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Registration for 2nd Revivência em New Orleans
The 2nd Revivência em New Orleans and 12th annual Batizado & Troca de Corda will take place September 26-28, 2019.

Please fill out this form one time for each participant. If you have questions or concerns, contact Energia: neelloc [at] gmail [dot] com. For more information about the event, check for updates here: https://www.facebook.com/events/2282043645392160/
Basic Information
Participant First Name (Legal) *
Your answer
Participant Last Name (Legal) *
Your answer
Participant Apelido (Capoeira Nickname) *
Your answer
Email address *
Your answer
Cell Phone *
If you have an international phone number, please type 000-000-0000. We will email you for more information.
Your answer
Capoeira Group Name *
Please include group name and city, state, country, e.g., "Arte Reviver, New Orleans, LA, USA"
Your answer
Years Training Capoeira *
Your answer
What's your Corda Level? *
Your answer
When will you be attending the event? (Check all that apply.) *
Required
Please select your preferred method of payment. Once your registration is submitted, we will contact you with information about completing your payment. *
Housing
As of Sunday, September 15, housing is no longer available. If you would like to be placed on a wait list, please arrange your own housing AND complete the questions below. We will reach out to you if a place becomes available.
Would you like to be contacted if housing becomes available? *
Will you have a child or children with you? If so, how many and what age?
Your answer
Do you have any pet allergies?
Your answer
Do you have a gender preference for housing, i.e. male/female/no preference?
Your answer
If you would like to be housed with other members of your group, how many people are in your housing group (including you)? Please note that we cannot guarantee grouped housing.
Your answer
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