American Sign Language Classes

Registration Form –Winter 2018

American Sign Language class sessions are 8 weeks long and meet once a week. The class fee is $90 and the book for ASL 1, 2 and 3 and Conversational is $55. The book is a one-time cost and covers all classes. It can also be used as a reference. Registration will begin November 6, 2017, and ends January 3rd, 2018. For all classes - payments must be made in full by December 29, 2017 to guarantee your spot in the class.No refunds after the first day of class. For students under 18 please contact .

Registrations after December 29, 2017 will be $100.

If less than 4 students register for a class, it will be cancelled.

Name ______Date ______

Address ______

City ______State ______ZIP ______

Phone ______E-mail______

Your email address will automatically be added to our Email Sign-Up list to receive monthly e-newsletter and event notifications.

If you prefer not to added to the list, please initial here_____.

Where did you hear about our classes? ______

I would like to register for (Please mark your 1st, 2nd, and 3rd choices as needed)

American Sign Language Classes:

Grand Rapids………...………………………. DHHS – 3680 44th St. SE Suite 201, Kentwood 49512

______ASL 2 Mondays starting January 8, 2018……………..….6:00pm-8:00pm

______ASL 1……………………………Mondays starting January 8, 2018…………….11:30am – 1:30pm

______ASL 1……………………………Wednesdays starting January 10, 2018…………..6:00pm-8:00pm

______Teen Signs…...…………………Wednesdays starting January 10, 2018………….6:00pm-8:00pm

______Conversational…………………Wednesdays starting January 10, 2018…………..6:00pm-8:00pm

______

______ASL 1……………………………Thursdays starting January 11, 2018.……...…….6:00pm-8:00pm

______ASL 3……………………………Thursdays starting January 11, 2018………....11:30am – 1:30pm

Grand Rapids………………………..Dominican Center – 2025 Fulton St. East, Grand Rapids. 49503

______ASL 2 (Conf. room 12)………...... Mondays starting January 8, 2018………………..6:00pm-8:00pm

______ASL 3 (Conf. room 13)………………..Mondays starting January 8, 2018………………..6:00pm-8:00p

Holland……………………………………………..Davenport University - 643 S Waverly Rd. Holland 49423

ASL 1- …………………………Mondays starting January 8, 2018...…………… 6:00pm - 8:00pm

______ASL 2 –………...………………to be determined…………………..……...……….6:00pm – 8:00pm

Hudsonville………………South Blendon Reformed Church – 4817 Port Sheldon St., Hudsonville, 49426

____ASL 2………………………………Mondays starting January 8, 2017 …….……….6:00pm – 8:00pm

______

Zeeland……….……………………… Faith Reformed Church - 220 W. Central Ave, Zeeland, 4946

_____ASL 1………………………..to be determined…………………………………………..6:00pm-8:00pm

_____ASL 2………………………..to be determined………………………...………………...6:00pm-8:00pm

Grand Haven……United Methodist Church of the Dunes – 717 Sheldon Rd. Grand Haven 49417

ASL 1 to be determined…………………...... 6:00pm.-.8:00pm

______ASL 2……………………………to be determined…………………...….…………6:00pm – 8:00pm

Lansing...(Exit 87 from I-69, 1 mile North of Meijer on Old 27)…Faith Church/DeWitt Campus-11733 S Old US 27,DeWitt, 48820

______ASL 1………………………...... to be determined………………….……………...6:00pm - 8:00pm

______ASL 2……………………………..to be determined………………………………...6:00pm – 8:00pm

Big Rapids…….(max 24 ppl in class)…..Ferris State University - 1201 S. State St. Big Rapids, 49307

______ASL 1…. (FLITE/Library) …………………to be determined………………… ………....6:00pm-8:00pm

You will be notified before classes start as to which of your choices is available for class. If for some reason, you do not hear from us, please call Denise at 616-732-7358 ext. 207 for class information.

Please mail this form to 3680 44th St. SE Ste #201 Kentwood, MI 49512

or fax to 616-732-7365 or email to


Payment may be made by check by mail, VISA /MasterCard,

or over the phone AFTER your completed

form has been sent.

If you have questions,
please call Denise at (616)732-7358 ext. 207

Or email Denise at