2026 Rising Stars Summer Program Registration Form

Rising Stars Registration Form 2026

Please fill out ONE form per child.
Child's Information
Student's Full Name
Student's Date of Birth

MonthDayYear
Date
Gender
Preferred Pronouns
Race
Ethnicity
*NOT the same as race* (ex., Cambodian, Dominican, Indian, Algerian, Nigerian, etc.)
Current Grade
Current Attending School
If your child's school is not listed, you may be outside of the Greater Lowell area. Email chandini@cmaalowell.org for more information.
Full Address
ex: 465 School St, Lowell, MA 01851
Does your child have any medical condition, allergies, or take medication? If no, please type N/A.
Parent/Guardian Information
Parent/Guardian's Full Name
Relationship to Child (P/G)
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact's Full Name
Relationship to Child (E)
Email (E)
example@example.com
Phone Number (E)
Please enter a valid phone number.Format: (000) 000-0000.
Household and Income Information
How many people are in your household? (family and non-family members)
How many people in your household are working adults?
How many people in your household are under 18?
What is your estimated household yearly income?
This is required for all parents/guardians to fill out.

Please click on the link below to download or print, and fill out the Appendix C form and Financial Assistance Application. You can upload the file below, email the form to chandini@cmaalowell.org, or hand it in directly at our office.

Appendix C Form

Financial Assistance Application

*Please note that you must circle the income amount that is closest to your income in the same row as the number of people in your household.

Example: A family of 3 with an income of $40,000 would circle the $36,951-$61,650 option found in the row for 3.

**If you need help filling out this form, please visit the CMAA office at 465 School Street, Lowell, MA 01851
Appendix C File Upload

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Financial Assistance Application Upload

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Your Appendix C form and Financial Assistance Application will be reviewed by staff. If you qualify for financial aid, we will reach out to you to inform you.
Media Consent and Release
Do you give CMAA permission to take still and motion pictures of your child to use as promotional materials?
This is required for all parents/guardians to fill out.

Please click on the link below and download or print, and fill out the Media Consent and Release form. You upload the form below, email the form to chandini@cmaalowell.org or hand it in directly at our office.

Media Release Consent Form

*If you need help filling out this form, please give Theresa or Hillary a visit at the CMAA office at 465 School St., Lowell, MA 01851.
Media Consent File Upload

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Child's Electronic Signature
Today's Date

MonthDayYear
Date
Parent/Guardian's Electronic Siganature
Should be Empty:

Rising Stars Registration Form 2026

Child's Information

Parent/Guardian Information

Household and Income Information

Media Consent and Release