Request edit access
LOCAL FAMILY AND COMMUNITY ASL CLASS SPRING 2020
REGISTRATION IS OPEN TO ANY ONE THAT IS INTERESTED IN LEARNING BASIC ASL. CLASSES WILL BE ON TUESDAYS, FEBRUARY 18-MAY 12, 2020. FROM 6-8P NO CLASS ON MARCH 17TH. CHILD CARE PROVIDED FOR AGES 0-8. YOU WILL RECEIVE A CONFIRMATION AND WELCOME LETTER PRIOR TO FEBRUARY 17. ASL and Spanish interpreting provided for the first three classes.
Pick one of these ways to return this form:
A. Completing and submitting this form as is.
B. Print and fill out the form, drop it off (Security) or mail it to KSD, Lori Colwell 450 E. Park St. Olathe, KS 66061
Payment instructions below.
The email address you will check for communication about class.
Name of each person that will attend the class over the age of 8. Children under the age of 18 will need to be accompanied by a parent/guardian.
Name and age of each child needing child care. Child care is limited to children 0-8 years old. Children over the age of 8 will need to remain in class with parents/guardians.
List the name and condition or concern for children in child care ages 0-8 that have a medical need or other condition that we need to be aware of. If not applicable, list NA.
I AM A FAMILY MEMBER OF A CHILD WHO IS DEAF OR HARD OF HEARING AND THERE IS NO CHARGE FOR ME TO ATTEND THE CLASS. THERE IS NO CHARGE FOR CHILD CARE.
If you marked yes, list the name, age and school that your child attends. If this doesn't apply list NA.
I AM A COMMUNITY MEMBER AND I WILL PAY FOR ATTENDING THE CLASS IN ONE OF THE FOLLOWING WAYS BY FRIDAY, FEBRUARY 14 IN ONE OF THE FOLLOWING WAYS. PAYMENT CANNOT BE ACCEPTED IN CLASS.
Check payable to KSD for $25.00 for each person taking the class. There is no charge for Child Care.
Credit card by phone by calling Sonya Ramsey at 913.210.8121 $1.50 processing charge will be applied.
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Kansas Schools for the Deaf and the Blind.