Donation Information

If you prefer to send a check mail to:
HNF
PO Box 1922
Midlothian, VA 23113
Please write “Zumba” in memo line.

Zumba Adult Registration - $15 each
Zumba Registration:	x =
Name #1
Name #2
Name #3
Name #4
Name #5
Name #6

Zumba Child Registration - $10 each
# of Zumba Registration:	x =
Name #1
Name #2
Name #3
Name #4
Name #5
Name #6

Unable to attend but would like to make a donation
Amount:

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