Grupo Capoeira Mandinga Tucson Batizado 2018 Date Registered*Please enter today's date. MM slash DD slash YYYY How many people are you registering?*Please enter how many family members are participating/registering together.123456Name of Participant 1* Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 1: Age (Minors Only)Please enter age if the participant is under 18.Participant 1: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 1: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 1: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 2 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 2: Age (Minors Only)Please enter age if the participant is under 18.Participant 2: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 2: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 2: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 3 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 3: Age (Minors Only)Please enter age if the participant is under 18.Participant 3: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 3: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 3: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 4 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 4: Age (Minors Only)Please enter age if the participant is under 18.Participant 4: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 4: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 4: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 5 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 5: Age (Minors Only)Please enter age if the participant is under 18.Participant 5: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 5: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 5: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLName of Participant 6 Title StudentInstructor/aProfessor/aContra Mestre/aMestre/a First Capoeira Nickname Last Participant 6: Age (Minors Only)Please enter age if the participant is under 18.Participant 6: Months or Years/Belt in CapoeiraPlease enter how long you have been practicing capoeira and your highest belt. If no experience, leave blank. Participant 6: Group/Training LocationPlease enter where you have trained. If you have no previous training, leave blank. Participant 6: T-Shirt SizeEvent t-shirts are required to participate in the Batizado and Batizado rodas. T-shirts are included in the price (except for single Saturday workshop or roda). Extra t-shirts can be purchased at the event for $25.00.Child SmallChild MediumChild LargeWomen SmallWomen MediumWomen LargeMen SmallMen MediumMen LargeAdult XLAdult XXLAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Emergency Contact Name* First Last Emergency Contact Phone*Workshop and Batizado PricesFull event prices include workshops, rodas, Batizado, t-shirt and post Batizado dinner. Friday and Saturday event prices include workshops, rodas, Batizado, t-shirt and post Batizado dinner. Saturday only price includes workshops, rodas, Batizado, t-shirt and post Batizdo dinner. Single Saturday workshop or roda does NOT include a t-shirt. Extra t-shirts can be purchased at the event for $25.00. Event t-shirts are required for Batizado and Batizado roda.Mestre/a, Contra Mestre/a, Professor/a Quantity Price: $0.00 Quantity Full Event Teen or Adult for Visitor/Non CMT (13+) QuantityThe registration cost is $105 per teen/adult. Price: $105.00 Quantity Full Event Kid for Visitor/Non CMT (6-12) QuantityThe registration cost is $70 per kid. Price: $70.00 Quantity All Friday & Saturday Events Teen/Adult for Visitor/Non CMT (13+) Quantity Price: $95.00 Quantity All Friday & Saturday Events Kid for Visitor/Non CMT (6 - 12) Quantity Price: $60.00 Quantity All Saturday Events Teen/Adult for Visitor/Non CMT (13+) Quantity Price: $70.00 Quantity All Saturday Events Kid for Visitor/Non CMT (6 - 12) Quantity Price: $40.00 Quantity A Single Saturday Workshop or Roda Quantity Price: $40.00 Quantity Saturday/Batizado Roda QuantityIncludes t-shirt (required) Price: $25.00 Quantity CMT Full Event Teen or Adult (13+) Quantity Price: $140.00 Quantity CMT Full Event Kid (6-12) Quantity Price: $125.00 Quantity CMT Tyke (3-5) Quantity Price: $85.00 Quantity Batizado Entry for Friends, Family & Public Quantity Price: $5.00 Quantity Event T-Shirt QuantityAll sizes will be available for pickup at the event. Please note that all except the single Saturday workshop or roda include a t-shirt in the registration price. Price: $25.00 Quantity Questions, Comments, Arrival Dates, TransportationPlease share any pertinent information such as arrival/departure times, flight information, airport rides needed, children 2 and under or any other information that you would like us to know.*ASSUMPTION OF RISKS AND PERSONAL RESPONSIBILITYI, the participant(s), desiring to participate with the above named organization, do so at my own risk, realizing athletic participation in general can increase the risk of injury and that capoeira in particular has its own unique risk factors. By permitting me to participate in classes, workshops, performances and/or related programs or events, the Capoeira Club of the University of Arizona and Capoeira Mandinga Tucson do not assume responsibility for any risks, injuries or damages incurred by me as a result of participating. I fully understand that I shall bear full responsibility for the consequences of my own actions. I knowingly, voluntarily and expressly waive any claim I may have against the Capoeira Institute, Capoeira Club of the University of Arizona and Capoeira Mandinga Tucson for injury or damages that I may sustain as a result of participating in the program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in the classes, workshops, performances or events. I understand and agree: to follow instructions and act respectfully towards instructors and other students (parents are expected to help implement this rule for minors); to pay in full the fees for the respective workshops, batizado and events (fees are non-refundable); Capoeira Institute and Capoeira Mandinga Tucson are not responsible for money or items lost or stolen, damaged or left behind in the studios or performance sites; Capoeira Institute and Capoeira Mandinga Tucson may use video and/or photographs taken during workshops or performances for publicity and/or advertising purposes without payment due; video taping is not allowed without the express permission of Capoeira Mandinga Tucson. Name of Participant(s) or at Least One Parent/Guardian if Participant is Under 18 Years of Age*By typing the name of the participant(s) or the name of at least one parent/guardian if the participant is under 18 you are agreeing that you have read and agree to the above Assumption of Risks and Personal Responsibility. First Last First Last Date* MM slash DD slash YYYY Total Amount DueTotalTotal Amount Due for the Batizado $0.00