Upper West Campus

NYCKS Upper West Campus

(150 W 83rd Street, New York, NY)

September 10, 2022 – December 17, 2022 (14 weeks)

Course*

Parent Name (English)*

Parent Name (Korean)

Phone Number (Home)

Phone Number (Cell)*

E-mail:*

Address

Student 1

Name *

Date of Birth*

Student 2

Name*

Date of Birth*

Student 3

Name *

Date of Birth *

COVID-19 Vaccination

Yes

No

Allergy

Yes

No

If yes, please describe (ex. John Jones is allergic to peanuts.)

Miscellaneous Notes

Select Time*

*Sibling Discount is applied.

Registration Due Date August 13, 2022

Pay via Zelle: admin@nyckoreanschool.org

Pay via Venmo: @NYCKS2013

Select Tuition*

We also accept tuition by check. Please print out this page, complete the form, and mail it with your check to 400 Kelby Street, Suite 1900, Fort Lee, NJ 07024. The check should be made payable to “NYC Korean School”.

NYC Korean School is a 501(c)(3) nonprofit organization dedicated to providing Korean Culture and Language education to promote the community.

LOWER EAST

UPPER WEST

LOWER EAST

UPPER WEST

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NYCKS Upper West Campus

(150 W 83rd Street, New York, NY)

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