Korean Language Summer Camp Registration Form
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KOREAN LANGUAGE SUMMER CAMP
KOREAN LANGUAGE SUMMER CAMP
ENROLLMENT FORM
ENROLLMENT FORM
Student’s Name: ________________________________________________ Classes: Mondays and Thursdays (The class starts on June 16, 2008) [ ] 1st to 3rd Grade (4:00 – 4:50 PM); [ ] 4th to 6th Grade (5:00 – 5:50 PM)
If yes, describe the student’s level briefly: ____________________________ _____________________________________________________________ _____________________________________________________________ Address ______________________________________________________ ST ____
Zip ________________
Home Tel ______________________ Work Tel _____________________ Parent’s Email _________________________________________________ Parent’s Signature: __________________________ Date _____________ Registration – Contact Kumiko Koga at 773-274-7441 Email: [email protected]; Fax: 773-274-9860
Classes: Mondays and Thursdays (The class starts on June 16, 2008) [ ] 1st to 3rd Grade (4:00 – 4:50 PM); [ ] 4th to 6th Grade (5:00 – 5:50 PM) Has the student learned Korean before? [Y / N]
Has the student learned Korean before? [Y / N]
City ____________________________
Student’s Name: ________________________________________________
If yes, describe the student’s level briefly: ____________________________ _____________________________________________________________ _____________________________________________________________ Address ______________________________________________________ City ____________________________
ST ____
Zip ________________
Home Tel ______________________ Work Tel _____________________ Parent’s Email _________________________________________________ Parent’s Signature: __________________________ Date _____________ Registration – Contact Kumiko Koga at 773-274-7441 Email: [email protected]; Fax: 773-274-9860
KOREAN LANGUAGE SUMMER CAMP
ENROLLMENT FORM
ENROLLMENT FORM
Student’s Name: ________________________________________________ Classes: Mondays and Thursdays (The class starts on June 16, 2008) [ ] 1st to 3rd Grade (4:00 – 4:50 PM); [ ] 4th to 6th Grade (5:00 – 5:50 PM)
If yes, describe the student’s level briefly: ____________________________ _____________________________________________________________ _____________________________________________________________ Address ______________________________________________________ ST ____
Zip ________________
Home Tel ______________________ Work Tel _____________________ Parent’s Email _________________________________________________ Parent’s Signature: __________________________ Date _____________ Registration – Contact Kumiko Koga at 773-274-7441 Email: [email protected]; Fax: 773-274-9860
Classes: Mondays and Thursdays (The class starts on June 16, 2008) [ ] 1st to 3rd Grade (4:00 – 4:50 PM); [ ] 4th to 6th Grade (5:00 – 5:50 PM) Has the student learned Korean before? [Y / N]
Has the student learned Korean before? [Y / N]
City ____________________________
Student’s Name: ________________________________________________
If yes, describe the student’s level briefly: ____________________________ _____________________________________________________________ _____________________________________________________________ Address ______________________________________________________ City ____________________________
ST ____
Zip ________________
Home Tel ______________________ Work Tel _____________________ Parent’s Email _________________________________________________ Parent’s Signature: __________________________ Date _____________ Registration – Contact Kumiko Koga at 773-274-7441 Email: [email protected]; Fax: 773-274-9860
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