Free Intro Capoeira Workshop Registration

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The free Introduction to Capoeira class is for those who have never tried capoeira before. No experience with any other organized sport, dance, martial art, etc. is required for any of our Introduction workshops.

Completion of this form certifies that you have read and agree to our Terms & Conditions, which can be accessed at https://goo.gl/hKsbWU

Please save the link to our Terms & Conditions for future reference.

Contact us at cnc.ny.usa@gmail.com or (845) 826-4511 with any questions or concerns.

Email *

Name *

Date of Birth *

YYYY

Phone # *

Emergency Contact *

Please list the name, relationship, and best method of contacting in case of emergency.

Disclosures

If there are any previous injuries, medical conditions, or anything the instructors should be aware of to ensure safe participation in the class, please describe here.

Which class will you attend? *

Saturday August 24th at 9:30 am (all ages) - Manitou School Barn Gym, 1656 Route 9D, Cold Spring, NY

Monday August 26th at 6:30 pm (all ages) - VSAIA, 36 Mason Circle, Beacon, NY

Wednesday August 28th at 6:30 pm (all ages) - Manitou School Barn Gym, 1656 Route 9D, Cold Spring, NY

Thursday August 29th at 5:10pm (children <13 yo) - Ammerman Hall (2nd floor at Reformed Church), 42 N Broadway, Tarrytown, NY

Thursday August 29th at 6:00pm (ages 13+) - Ammerman Hall (2nd floor at Reformed Church), 42 N Broadway, Tarrytown, NY

A copy of your responses will be emailed to the address you provided.

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