Registration

Discount code

Child Information

Full Name*

Please, enter your name.

Date of Birth*

Please, digit your date of birth.

Gender*

Please, digit your gender.

Responsible Information

Full Name of Person Responsible*

Please, enter your name.

Degree of kinship*

Invalid Input

Please, enter your degree of kinship.

Address*

Please, enter your address.

Telephone*

Please, enter a contact phone number.

E-mail*

Please, enter a valid email address.

Emergency Contact Number

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Medical Information

Doctor's Name

Please, digit the name.

Doctor's Phone Number

Please, digit the phone number.

Medical Condition

Please, digit the medical condition.

Medications (days and times)

Please, enter the medication(s).

Information about the person authorized to pick up the child

Name of Authorized Person

Please, enter the name of the authorized person.

Relationship

Please, enter your relationship with the child.

Phone Number

Please, enter your contact number.

Observations

Time to pick up child from school (if necessary)

Time to pick up children from school

Please, enter a valid time.

Child's school information

School Name*

Please, enter the name of the school.

Level of Education

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Availability

Authorization to share photos/videos of the child on social media

Authorization Disclosure

Yes

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Final Message

Name*

Por favor, insira seu nome completo

CPF*

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E-mail*

Por favor, insira um e-mail válido

Phone Number*

Por favor, insira o seu número de contato.

Valor Doado:*

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Tipo de Pagamento*

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Subject*

Selecione um assunto válido

Message*

Por favor, Digite a sua mensagem.

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