UNION CULTURAL CENTER
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About
Mestres
Board of Directors
Cultural Arts at UCC
Our Space
Classes
Events
Contact
Home
About
Mestres
Board of Directors
Cultural Arts at UCC
Our Space
Classes
Events
Contact
Capoeira Summer Camp Registration Form
*
Indicates required field
Child's Name
*
First
Last
Age
*
1 Parent/Guardian Name
*
Email
*
Phone
*
2 Parent/Guardian Name
*
Email
*
Phone
*
Emergency Contact Name
*
Emergency Contact Phone
*
Relationship to Child
*
Dietary Allergies or Special Dietary Needs
*
Does your child have any physical/developmental challenges? If yes, please explain
*
Camp Payment Method
*
Check - made out to ICAF Seattle
Paypal
Scholarship
Submit