Korean Registration Form 2015-16

2015-2016
안녕하세요!

After School Korean Language & Culture Program will be held at Rocky Hill Middle School.

Students will have great fun learning the rich language and culture of Korea for 24 sessions in total.
(The detailed schedule will be provided as the program starts.)

Korean language instructor(s) will plan and work together as a team to develop appropriate curricula and
activities for their students. The lessons will meet the needs of individual participants at all levels of
Korean language proficiency, being first-time learners or heritage speakers.

Cultural arts activities will be included.

Activity Bus will be available.
Thank you. (감사합니다)
WHEN:
Tuesdays, Nov. 10, 2015 ~ May 17, 2016
TIME:
3:00 p.m.-4:30p.m.
WHO:
6th ~ 8th Grade
FEE:
$100 (per child)
Make check(s) payable to Rocky Hill Middle School
Contact Ms. Kim for more information at [email protected]
Registration Form
Korean Language and Culture Program
School year 2015-216
Please send in BOTH of the form and activity fee to the office of
Rocky Hill MS by Tuesday, Oct. 27th , 2015.
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My child ______________________________________ is interested in attending the program.
Current Grade: ___________________ (School Year 2015-2016)
My child attends:
Rocky Hill MS ___
Other: ____________________
Korean Language Proficiency Level: ____ Beginner _____Intermediate _____Advanced
Contact Information:
Parent Name: ________________________________________________________________________________
Email:
_______________________________________________________________________________
Cell #:
________________________________
Address:
_______________________________________________________________________________
Home #: ________________________________
Food Allergy: _______________________________________________________________________________
__________________________
Parent Name
___________________________
Parent Signature
______________
Date