2007 Spring  Semester  Registration  Form

 

Parents

Name

                                    

Korean                                         English   

 

Address

 

 

 Tel

Home

                        zip

Work

 Religion   Christianity(   ), Buddhism(   ), The others(   )     Name of Church:                        

                              Fall  Semester

 

    Student' Name

 Sex

Class

   Tuition

  Material

 

   Bus

 

    Total

 Date

 Check

 Cash

  School use only

1

 

Korean

 

 

 

English

 

 

 

 

 

 

 

 

 

2

 

Korean

 

 

 

English

 

 

 

 

 

 

 

 

 

3

 

Korean

 

 

 

English

 

 

 

 

 

 

 

 

 

 

 

 

   I would like to register my child in your school and promise to positively support your academic and     extra curricula activities.

                                                  

                                                 parent/guardian   _____________________________

                                                                   

                                                              Date ______________________________

 

   ¡Ý Information (Tution)

          * Tution ...  1st student: $200     2nd student:  $180        3rd student: $150

          * Material/admin fee ....  $10     * School Bus ... $50/per student                           

 

Korean Language & Cultural School of Itasca     

1149 W. Bloomingdale Rd., Itasca IL 60143

Tel (630) 250-0102, Fax (630) 250-0109