15 years of Axé Capoeira in the Comox
15 years of capoeira in the Comox Valley March 15-17, 2024. Please email axecomox@hotmail.com with any questions, if you cannot pay with credit card or for family discount code for families with 3 or more family members registering.
Student name
*
First Name
Last Name
Apelido (nickname)
Guardian name (if applicable)
First Name
Last Name
Email
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Cel number
*
Please enter a valid phone number.
Capoeira teacher
*
City/town you train in
*
CURRENT Belt level, not new belt (use google translate ;)
*
NO BELT
Crua
Crua p.cinza
Crua/Cinza
cinza
cinza p.laranga
Cinza/laranga
laranga
laranga p.azul
Laranga/azul
Crua p.azul
Crua/azul
azul
azul p.marrom
Azul/ marrom
marrom
marrom p.verde
Marrom/verde
Verde
Verde p.Amarello
Tshirt size
*
Kids 4
Kids 6
Kids 8
Kids 10
kids 12
kids 14
Adults XSmall
Adults Small
Adults Med
Adults Large
Adults X-large
Adults XX-large
We are currently full for billeting but if you are from comox and can offer housing please answer
Yes we can offer
no room sorry
If you answered yes the above question please provide the amount of guests that you require to be billeted together.
Locals please give info on accommodation you can provide for the event. How many beds? rooms? mattresses on the floor? Any accommodation you can provide is much appreciated!
Payment method
*
Cash (give to your teacher and DON NOT CHECK ANY BOXES BELOW)
Credit card (check box below and fill in the credit card info needed to process payment upon submission)
Payment is with credit card or cash. If you want to pay cash please DO NOT CHECK ANY BOXES BELOW and pay your teacher! Thanks!
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( X )
Early bird before Jan 1
Please choose according to age with drop down menu.
$
255.00
CAD
Adult (15+)
Kid (ages 6-14)
Tiny - 5 and under
OUT OF COUNTRY students before Jan 1
Please choose according to age with drop down menu.
$
195.00
CAD
Adult (15+)
Kid (ages 5-14)
Tiny (4 and under
Credit Card
Submit
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