Korean Language Registration Form 15-16

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 during Winter /Spring
semester, 15 sessions in total. (The detailed schedule will be provided as the program starts.)

Korean language instructor will plan and develop appropriate curricula and activities for the 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:
Starting on Tuesdays, Jan. 12, 2016 (through May, 2016)
TIME:
3:00 p.m.-4:30p.m.
WHO:
6th ~ 8th Grade
FEE:
Free
Please contact Ms. Kim for the more information and confirmation on the registration
at [email protected]
Registration Form
Korean Language and Culture Program
School year 2015-216
Please send the form in to the office of Rocky Hill MS by Tuesday, 12/15/2015.
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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: ______No experience ____ Beginner _____Intermediate _____Advanced
Contact Information:
Parent Name: ________________________________________________________________________________
Email:
_______________________________________________________________________________
Cell #:
________________________________
Address:
_______________________________________________________________________________
Home #: ________________________________
Food Allergy: _______________________________________________________________________________
__________________________
Parent Name
___________________________
Parent Signature
NOTE: You will receive a confirmation email prior to the start of the program
______________
Date