EmailMeForm
2019 뉴저지 온누리교회 한글학교 / Korean Language School
- Dates/일시: 2/23-5/25, every Saturday, 9:30am - 12:30pm
- Target Group/대상: K - 6th Grade
- Fee/회비: $200/첫째, $150/둘째, $100/셋째
- Contact/문의: Pastor Younhee Bae (koreanschool@njonnuri.org)
Student Name (Child 1)
학생이름
*
Grade (Child 1)
학년
*
Birth Date (Child 1)
생년월일
*
MM
/
DD
/
YYYY
Preferred Language
선호하는 언어
*
Korean 한국어
English 영어
Both 둘다
Attending Church
출석 교회
*
NJ Onnuri (뉴저지 온누리교회)
Other Church (다른 교회)
Not Attending (다니고 있지 않음)
Allergies or Other Medical Conditions
알레르기나 건강 유의사항
To register additional child(ren), please continue to fill out the form or skip to the next section.
Student Name (Child 2)
학생이름
Birth Date (Child 2)
생년월일
MM
/
DD
/
YYYY
Grade (Child 2)
학년
Preferred Language
선호하는 언어
Korean 한국어
English 영어
Both 둘다
Allergies or Other Medical Conditions
알레르기나 건강 유의사항
Student Name (Child 3)
학생이름
Birth Date (Child 3)
생년월일
MM
/
DD
/
YYYY
Grade (Child 3)
Preferred Language
Korean 한국어
English 영어
Both 둘다
Allergies or Other Medical Conditions
알레르기나 건강 유의사항
Please complete all of this section
Parent/Guardian Name
학부모 이름
*
First
Last
Parent/Guardian Phone No.
부모님 전화번호
*
###
-
###
-
####
Email
이메일 주소
*
Address
주소
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
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Myanmar
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China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Emergency Contact
응급상황시 연락처
*
First
Last
Emergency Contact Phone No.
###
-
###
-
####
Relationship to Student
학생과의 관계
Payment
신청 방법
*
Credit Card: Child 1 ($200)
Credit Card: Child 2 ($150)
Credit Card: Child 3 ($100)
Name on Card
*
First
Last
Billing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Please Sign the Following
#1 I register my child for the 2018 Korean Language and Culture School at NJ Onnuri Church. Please write your name on the line as an agreement of registration
뉴저지 온누리교회 여름캠프 등록을 희망합니다.
성함을 적어주세요.
*
#2 Photo Release Form: I hereby grant permission to New Jersey Onnuri Community Church to use my child’s photograph(s) on its Web site or in other official church printed publications without further consideration. I acknowledge the church has the right to crop or treat the photograph(s) at its discretion. I also acknowledge that the church may choose not to use the photograph(s) at this time, but may do so at its own discretion at a later date, up to 6 years from the date of the photograph was taken. I also understand that once the picture is posted on the church’s website, the image can be downloaded by any computer user, anywhere in the world. Therefore, I agree to indemnify and hold harmless the church, its trustees, pastor, associate pastors, deacons, its members and designee from any claims arising out of the use of the photograph(s). The church reserves the right to discontinue use of any photograph(s) without notice. (Please Print Parent's name)
부모님의 성함을 적어주세요.
*
Total
$0.00