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Student / Parent Contact Information
Thank you for filling out this information. This will make our communication a lot easier throughout the year. The purpose of this page is for me to be able to become more efficient as an Online English Teacher, I would like to focus more on my classes and spend less time computing the total number of classes every first week of the month.
Rest assured that all your personal information will be kept confidential. If you have questions, please do not hesitate to e-mail or call. My contact details are found in my homepage.
Please complete this form as soon as possible.
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* Indicates required question
Student (Korean Name) *
Your answer
Student (English Name)
Your answer
Name of Parent(s)/Guardian(s)
Please include both first and last name. (Put N/A if you are an adult student.)
Your answer
Relationship to Student
Mother, Father, Aunt, Uncle, Grandparent, Guardian, etc. (Please include both first and last name. (Put N/A if you are an adult student.)
Your answer
"PayPal E-mail Address "
*
If you are sending the tuition fee through another student, just put the student's name.
Your answer
Preferred Contact Number
To be used for notification of students.
Your answer
Are you using Kakao Talk?
If "Yes" please put your phone number. Just in case I am unable to contact you through Skype.
Your answer
Speak, Learn and Laugh!
Teacher Karen provides online English tutorial and assistance for those who have difficulty in spoken and written English.
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