Daf/Tombak , Dance Registration Question Title * 1. Name: First and Last Question Title * 2. email Question Title * 3. Phone number Question Title * 4. Which class(es) are you registering for? (Please select all that apply) Tombak for ages 17 and below ($25) Tombak for ages 17 and above ($25) Daf for ages 17 and below ($25) Daf for ages 17 and above ($25) Persian dance for beginners ($25) Persian dance for advanced dancers ($25) Question Title * 5. If registering for a Tombak or Daf class, please provide your age. Question Title * 6. If registering for the Persian dance class, which age group do you fall into? (Please select one) 5-8 years old 9-12 years old 12 - Adult Question Title * 7. How will you be making your payment? Check Payable to : CZC- SD Fund (checks must be received prior to start of first class) Payment due for month of June $100Address" 1721 Hornblend St. San Diego, CA 92109" Zelle: To pay using Zelle, please send your payment to bod-sd@czc.org Done