Arizona Total Immersion Sign Language Program
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Contact
Phone:
602-705-6560
E-mail:
officemanager@aslid.com
Which class are you signing up for?
Experience July 9-13
Contact Information:
Your Name
(required)
Gender
Male
Female
Age
Address
(required)
City
(required)
State
(required)
Zip/Postal code
(required)
Home Phone
Cell Phone
Work Phone
Email
(valid email required)
Emergency Contact:
Name
(required)
Phone
(required)
Alternate Phone
Please answer the following questions:
Are you:
Deaf
HH
Hearing
Have you ever participated in a Total Immersion Program?
Yes
No
If yes, where and when?
Level of sign language experience (1=begginner 5=advanced)
1
2
3
4
5
What is your Sign Language background and years of experience?
How did you hear about AZTI?
T-shirt
Small
1
2
3
4
5
Medium
1
2
3
4
5
Large
1
2
3
4
5
I have read the FAQ page of this website and understand I will not receive anything in the mail. I do understand that I will only receive an e-mail confirming my registration from the registrar.
Link to FAQ
I agree
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