Learning Khmer - Registration Form Logo
  • Learning Khmer - Registration Form

    Please fill out one form per person. Read through carefully and fill out the required areas.
  • Please note that the current fees for the year are as follows:

    • Youth (7-14) - $125
    • Adult (15+) - $200

    THERE WILL BE NO REFUNDS, SO MAKE YOUR CLASSES COUNT.

  • Course Information

  • Youth Classes | IN PERSON SUNDAYS ONLY

    Class times for Beginner course: 9:00 AM - 10:30 AM

    Class times for Intermediate course: 10:45 AM - 12:15 PM

     

    Adult Classes | REMOTE MONDAY AND WEDNESDAY NIGHTS ONLY

    Class times for both Beginner and Intermediate courses will be from 6:00 PM - 7:30 PM. Link to Zoom will be given prior to start of class.  

  • Student Information

  • Individuals Under 18

    If registrant is under 18 years of age, please fill out the entire Parent/Guardian portion of the form. If registrant is 18 years or older, please type "Adult" in all required sections if you would like to skip this portion.
  • Emergency Contact Information

  • Electronic Signature Acknowledgement and Consent Form

    I/We agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and all statements above are correct and true to the best of my/our knowledge.
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  •  If paying by card, please click on the links below. To pay by cash or check, please meet with a CMAA staff.

    We are located at:

    465 School St
    Lowell, MA 01851
    978-454-6200

  •  Pay Here for Youth $125

    Pay Here for Adult $200

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