ASL (American Sign Language) Class - 01/26/2012 07:00 pm

Location: 
FCS
Address: 
950 W. Julian St.
95126 San Jose , CA
CEU Hours Qualifies for: 
0 hours (CEU hours qualifies for annual CE requirements)
IFECMH-A: 
0 hours
No seat limit.
Additional Information: 

 

ASL Class Registration Form

ASL Class: 1/26/12 thru 3/29/12

 

Name: _____________________________________________

                   (first, last name)

 

Address: __________________________________________

 

                   __________________________________________

 

Phone: (____) _____________ (cell/home)  (V/VP)

                                                         

Phone: (____) _____________ (text)

 

Email: _____________________________________________

 

How did you find out about the ASL Class?

 

What are your expectations?

 

Cost: $75.  Payment must be received no later than January 24th.

Class open for 17 years and older

NOTE: In order for this class to continue, we need a minimum of 10 pre-paid students.  Payments methods: Cash or Check. Submit both payment and registration form via mail or stop by the office before and/or on January 24th.

 

 Office Use Only: Paid On: ______________  Method: ___________  Student # _______ 

 

 

 

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