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