KDT Application Form

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Thank you for your interest in joining our team. We would love to have you. Please complete the information below so that we can learn more about you!

Khemera Dance Troupe

Website: www.cambodiandance.org

Facebook: https://www.facebook.com/KhemeraDance

If you have questions, please feel free to contact Chanda Chuon using the information below:

Phone: (801) 891-8009

Email: chanda.chuon@gmail.com

Name *

First and last name

Email Address

Parent or Legal Guardian (if under 18 years of age)

Phone number *

Facebook Link

Which course(s) are you interested in? *

Childrens course (Sundays from 11:00 am–1:00 pm)

Adult course (Sundays from 1:00 pm–3:00 pm)

Required

Please explain your goals in learning Cambodian dance

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