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* 1. Name: First and Last 

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* 2. email

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* 3. Phone number

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* 4. Which class(es) are you registering for? (Please select all that apply)

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* 5. If registering for a Tombak or Daf class, please provide your age.

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* 6. If registering for the Persian dance class, which age group do you fall into? (Please select one)

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* 7. How will you be making your payment?

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