KSSNJ Registration Form 2023-2024
남부뉴저지통합한국학교 등록원서 - 등록금 인당 $460, 월 렛슨비 $56입니다.  The tuition fee is $460 per student, and the monthly lesson fee is $56.
Email *
Student/Child 1 - Name (English) *
영문이름
Student/Child 1 - Name (Korean) *
국문이름
Student/Child 1 - Date of Birth *
생일
MM
/
DD
/
YYYY
Student/Child 1 - School Name *
소속학교명
Student/Child 1 - School Grade (in Sep 2023) *
학년
Student/Child 1 - Gender *
성별
Required
Student/Child 1 - Special Activities
미술특화반,  합창,  한국무용, 사물놀이,  모듬북 중에서 선택해 주세요. 월 렛슨비가 있습니다.  1학년~6학년까지는 특별반이 필수과정입니다. 7학년~11학년까지는 특별반이 선택과정입니다  무용단은 남학생도 환영합니다. Which team would you like to join, keeping in mind that there will be additional monthly fees?  Please choose from Art class, Choir, Korean traditional dance company, Samulnori, and K-Percussion company.  Please select a special class as a mandatory course from 1st to 6th grade. From 7th to 11th grade, special classes are elective courses. Boys are welcome in K-Dance company.  
*Child 1 - 보조교사 체크한 사람만 답해주세요. 
Please only respond if you have checked the box for the assistant teacher position.
Student/Child 2 - Name (English)
영문이름
Student/Child 2 - Name (Korean)
국문이름
Student/Child 2 - Date of Birth
생년월일
MM
/
DD
/
YYYY
Student/Child 2 - School Name
소속학교명
Student/Child 2 - School Grade  (in Sep 2023)
학년
Student/Child 2 - Gender
성별
Student/Child 2 - Special Activities
미술특화반,  합창,  한국무용, 사물놀이,  모듬북 중에서 선택해 주세요. 월 렛슨비가 있습니다.  1학년~6학년까지는 특별반이 필수과정입니다. 7학년~11학년까지는 특별반이 선택과정입니다  무용단은 남학생도 환영합니다. Which team would you like to join, keeping in mind that there will be additional monthly fees?  Please choose from Art class, Choir, Korean traditional dance company, Samulnori, and K-Percussion company.  Please select a special class as a mandatory course from 1st to 6th grade. From 7th to 11th grade, special classes are elective courses.  Boys are welcome in K-Dance company.  
*Child 2 - 보조교사 체크한 사람만 답해주세요. 
Please only respond if you have checked the box for the assistant teacher position.
Student/Child 3 - Name (English)
영문이름
Student/Child 3 - Name (Korean)
국문이름
Student/Child 3 - Date of Birth
생년월일
MM
/
DD
/
YYYY
Student/Child 3 - School Name
소속학교명
Student/Child 3 - School Grade (in Sep 2023)
학년
Student/Child 3 - Gender
성별
Student/Child 3 - Special Activities
미술특화반,  합창,  한국무용, 사물놀이,  모듬북 중에서 선택해 주세요. 월 렛슨비가 있습니다.  1학년~6학년까지는 특별반이 필수과정입니다. 7학년~11학년까지는 특별반이 선택과정입니다  무용단은 남학생도 환영합니다. Which team would you like to join, keeping in mind that there will be additional monthly fees?  Please choose from Art class, Choir, Korean traditional dance company, Samulnori, and K-Percussion company.  Please select a special class as a mandatory course from 1st to 6th grade. From 7th to 11th grade, special classes are elective courses.  Boys are welcome in K-Dance company.  
*Child 3 - 보조교사 체크한 사람만 답해주세요. 
Please only respond if you have checked the box for the assistant teacher position.
Student/Child 4 - Name (English)
영문이름
Student/Child 4 - Name (Korean)
국문이름
Student/Child 4 - Date of Birth
생년월일
MM
/
DD
/
YYYY
Student/Child 4 - School Name
소속학교명
Student/Child 4 - School Grade (in Sep 2023)
학년
Student/Child 4 - Gender
성별
Student/Child 4 - Special Activities
미술특화반,  합창,  한국무용, 사물놀이,  모듬북 중에서 선택해 주세요. 월 렛슨비가 있습니다.  1학년~6학년까지는 특별반이 필수과정입니다. 7학년~11학년까지는 특별반이 선택과정입니다  무용단은 남학생도 환영합니다. Which team would you like to join, keeping in mind that there will be additional monthly fees?  Please choose from Art class, Choir, Korean traditional dance company, Samulnori, and K-Percussion company.  Please select a special class as a mandatory course from 1st to 6th grade. From 7th to 11th grade, special classes are elective courses.  Boys are welcome in K-Dance company.  
*Child 4 - 보조교사 체크한 사람만 답해주세요. 
Please only respond if you have checked the box for the assistant teacher position.
등록금 Tuition
특화반 렛슨비는 별도입니다. The specialized class lesson fees are separate and not included in the registration fee.
Clear selection
Parent/Guardian - Name *
부모님 성함
Parent/Guardian - Contact *
전화번호
Parent/Guardian - Email *
Email address
Parent/Guardian - Street
주소
Parent/Guardian - City
도시
Parent/Guardian - Zip Code
우편번호
Medical Information - Emergency Contact
만약 부모/보호자에게 연락할 수 없는 경우에 대비하여, 위에 명시된 부모/보호자와는 다른 대상으로 긴급 연락이 가능한 사람의 이름, 관계 및 연락처를 제공해주세요. Please provide the name, relationship, and contact information of a designated emergency contact, who is not the same person as the previously listed parent/guardian, and who may be contacted in case the parent/guardian cannot be reached.
Medical Information - Doctor Info
Doctor, phone number
Medical Information 1
알러지가 있으면 알려주세요. "Please inform us if you have any allergies."
Medical Information 2
복용해야할 약이 있으면 적어주세요. If you have any medication that needs to be taken during school hours, please list them.
Acknowledgement 동의서 *
위의 학생은 KSSNJ 에 등록하기를 원하여 부모의 동의를 얻어 이 원서를 제출하여 부모및 보호자는 학교에서 정한 규칙을 충실히 이행할 것을 약속합니다 . 또한 학교에서 일어난 어떤 사고에 대해서도 책임을 전가하지 않을 것을 약속합니다. 학생들이 본교에서 수업시간에 찍은 사진,오디오 및 동영상등에 관하여 학교에 자료를 위임 합니다. 위의 모든 사항에 동의하여 아래에 서명합니다. (동의하시면 동의합니다에 체크해주세요) "The student above wishes to enroll in KSSNJ and with the parent's consent, submits this application. The parent/guardian promises to faithfully abide by the rules set by the school, and also pledges not to hold the school responsible for any accidents that may occur. The school is authorized to use any photos, audio, and videos taken during class time for educational purposes. By signing below, the parent/guardian agrees to all of the above terms and conditions. (Please check the box next to "Agree" if you consent.)"
Required
Other Comment
이곳에 건의사항이나 기타 학교에 알리고 싶으신 말씀을 적어주세요. 등록해 주셔서 고맙습니다.                             "Please write down any suggestions or other comments that you would like to bring to the attention of the school. Thank you for registering."
Name of Referring Person (학교 등록을 추천한 사람 이름을 써 주세요)
(NEW STUDENT only 신규등록자) PLEASE NAME THE REFERRING PERSON 추천자에게 등록금의 20%를 드립니다.
Tuition Payment (등록금 납부):   https://kssnj.net/Newsletters/39923
등록금과 특화반 레슨비 납부를 완료하셔야 조기등록으로 적용됩니다.   "Early registration will only be applied upon completion of payment for both the registration fee and specialized class lesson fees."
A copy of your responses will be emailed to .
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