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Learn ASL American Sign Language
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Registration Form
Summer
June 5,12,19,26 &
July 10,17,24,31
Beginner
Class: 6:00p.m. to 7:30p.m. Advance Class: 7:30p.m. to 9:00p.m.
Location: NICIL
412 Locust St Sterling IL
$40.00 per person *** $30.00 per child
Pre-Payment is REQUIRED PRIOR to Sign Language Class
Name: ______________________________________________________
Age: ____________________________ Gender: ___________________________________
Address: ________________________________________________________________________________________________________________________________
City: ________________________________________________________
State: ___________________________ Zip Code: __________________________________
Email: ___________________________________________________________________________________________________________________________________
Home Ph#: ( ) _________ - ___________________________________ Cell
or Work Ph#: ______________________________________________________________
Required Book for Beginner/Advance Class: Signing Everyday Phrase: ISBN: 9780399533099.
We have 9 Signing Everyday Phrase Books left with the
instructor - First Come - First Serve.
Books
On First - Dixon, IL #815-285-2655 ** Books World Inc. - Sterling, IL #815-564-9440
I have enclosed my payment of $_____________________
Please mail registration form
with payment to:
NICIL 412 Locust St. Sterling,
IL 61081
Accommodation upon Request
