Kids Class Sign Up
Roots Capoeira Kids Class 
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Email *
Parent Name *
Parent's Phone Number for Emergency
Child's Name (Names if multiple)
Child's Age (Ages if multiple)
How did you hear about our classes?
Thank you so much for signing up!  
We will see you on 
Tuesday at 5:45pm for ages 6-9 or 
Thursday at 6:00pm for ages 10+!  
Additional paper waivers/media releases will need to be signed in person! 
Payment can be submitted easily through our website if you set up monthly donations!
www.RootsCapoeira.com
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