Kids Capoeira Registration

The banking details are as follows:

Mark de Gouveia
FNB 250655
Savings acc. 62477648128

Please click here to view terms and conditions - https://goo.gl/HDq60P: *
Name of parent: *
Your answer
Email address: *
Your answer
Contact number: *
Your answer
Can we add you to the Whatsapp group for updates: *
Name of student: *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What school does he/she attend? *
Your answer
Where did you hear about us: *
Your answer
Any medical problems that we should know about:
Your answer
Pricing options **(Pricing is charged over 10 months from Feb – Nov, December and January classes are free of charge) *
CONTRACT DURATION *
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