2021-22 무궁화 한국학교 등록서

Fall 2022 Registration for MukungHwa Korean School
Total Fee: $280/person, which includes $10 registration fee + $270.00 tuition. (Textbook is included)
- 9/10/2022 - 1/21/2023
- Sibling Discount
  - 1st student: $280
  - 2nd student: $260
  - 3rd student: $240
Fill out this form to start the registration and enrollment process: MuKungHwa.ks@gmail.com

Payment Options- Select one of the 3 ways:
1. Sending a personal Check : make the check payable to MuKungHwa Korean School and mail to 649 Moraga Way Orinda, CA 94563
2. Venmo Transfer to @Sang-Lee-146 Phone number: 925-324-2370
3. Zelle Transfer to @ 925-324-2370 with B of A
Note: Paid Registration and tuition fees will not be refunded!
How many students are you registering? / 몇명을 등록 하시나요? *

1 child 2 children 3 children
Total
Payment Option / 결제방법 *

Personal Check - Mail to 649 Moraga Way Orinda, CA 94563 Venmo @Sang-Lee-146 Zelle @ 925-324-2370
STUDENT INFORMATION:

(Please type in English / 영어로만 작성해 주세요)
Student 1
Child Name *

First Name Last Name
Korean Name (한글로 써주세요)
Only if you have one
Birth Date *

Month Day Year
Gender/성별

Male Female
Birth Country/출생지 *

Street Address

Street Address Line 2

Country
Address/주소 *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Language/쓰는 언어 *
Student's Email/학생 이메일 *
**Can't use parent's email**
Attending School Name/재학중인 학교명 *
School Name
Current Grade/학년 *
Years of studying or attending Korean School/한국학교 출석 기간 *
Years
Korean language competency/한글어 능력 수준 *
(Briefly describe Listening, Speaking, Reading, and Writing skills)
Allergies and Health Conditions/알러지와 건강
Student 2
Child Name *

First Name Last Name
Korean Name (한글로 써주세요)
Only if you have one
Birth Date *

Month Day Year
Gender/성별

Male Femail
Birth Country/출생지 *

Street Address

Street Address Line 2

Country
Address/주소 *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Language/쓰는 언어 *
Student's Email/학생 이메일 *
**Can't use parent's email**
Attending School Name/재학중인 학교명 *
School Name
Current Grade/학년 *
Years of studying or attending Korean School/한국학교 출석 기간 *
Years
Korean language competency/한글어 능력 수준 *
(Briefly describe Listening, Speaking, Reading, and Writing skills)
Allergies and Health Conditions/알러지와 건강
Student 3
Child Name *

First Name Last Name
Korean Name (한글로 써주세요)
Only if you have one
Birth Date *

Month Day Year
Gender/성별

Male Femail
Birth Country/출생지 *

Street Address

Street Address Line 2

Country
Address/주소 *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Language/쓰는 언어 *
Student's Email/학생 이메일 *
**Can't use parent's email**
Attending School Name/재학중인 학교명 *
School Name
Current Grade/학년 *
Years of studying or attending Korean School/한국학교 출석 기간 *
Years
Korean language competency/한글어 능력 수준 *
(Briefly describe Listening, Speaking, Reading, and Writing skills)
Allergies and Health Conditions/알러지와 건강
PARENT/GUARDIAN INFORMATION:

(Please type in English / 영어로만 작성해 주세요)
Parent/Guardian 1 *

First Name Last Name
Parent/Guardian 2

First Name Last Name
E-mail Parent1 *

Confirmation Email
E-mail Parent2

Confirmation Email example@example.com
Phone Number Parent 1 *

Area Code Phone Number
Phone Number Parent 2

Area Code Phone Number
Parent/Guardian Electronic Signature/전자서명 *
Type your full name including first and last name
Should be Empty:

Fall 2022 Registration for MukungHwa Korean School

STUDENT INFORMATION:

Student 1

Student 2

Student 3

PARENT/GUARDIAN INFORMATION: