Capoeira Valente - Personal Information Form
Please make sure you have read and agreed to the terms and conditions of Capoeira Valente before filling out this form.
Please click here for terms and conditions:
I have read and agree to all the terms and conditions stated in the document link above
Student name and surname
Date of Birth
Parent/Gardian Full name
How did you hear about us?
Word of mouth
I knew about capoeira before and did a specific search
Emergency contact name
Emergency contact number
Medical conditions, injuries or any other informations we should be aware of?
Unlimited classes per week @R890/month
1 Class per week @R600/month
unlimited classes R2050 - 3 month termly
1 Class per week R1450 - 3 month termly
one month free coupon
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