Conversational ASL Classes - CHHA-ED

#52, 9912 - 106 Street
Edmonton, Alberta T5K 1C5
PHONE (Voice or TTY): (780) 428-6622
FAX: (780) 420-6661
EMAIL: [email protected]
WEB: www.chha-ed.com
Conversational ASL Classes
(American Sign Language)
Beginner Level “A”
Tuesday Evening Classes – 6:30 p.m. to 8:30 p.m.
September 20th to November 8th, 2016
(September 20th, 27th, October 4th, 11th, 18th, 25th, November 1st and 8th)
 Adult classes (18 and older)
 Cost: $125.00/person
Registration Deadline:Wednesday, September 14th, 2016
Minimum of 7 registered and paid for class to proceed
Register: In person, email or mail
Payment: PayPal – online, cheque/money order (mail or in person)
and cash (in person only)
Make cheques out to Canadian Hard of Hearing Association – Edm. Br.
Mail to: Canadian Hard of Hearing Association-Edmonton Branch
#52, 9912 – 106 Street, Edmonton, AB T5K 1C5
Location of Classes
Glenrose Rehabilitation Hospital, Private Dining Room # 0431
10230 - 111 Avenue
Edmonton, AB
For fee underground and street parking is available
For more information or to register please contact:
CHHA-Ed by email: [email protected] or phone: 780 428 6622
“Level A” Beginner ASL Classes Registration Form
[ ] Dr.
[ ] Mr.
[ ] Miss.
[ ] Ms.
[ ] Mrs.
First & Last Name:
Street, Box Number:
City, Province:
Postal Code:
Phone: Voice/ TTY:
Fax:
E-mail:
Occupation:
_____________________________________________________________________________________
How did you find out about this course at CHHA-Ed?
_____________________________________________________________________________________
TO TAKE LEVEL ‘A’ YOU MUST be willing to learn and practice finger exercises. This is a basic beginner’s class that
includes signing of numbers, alphabet, colours, family, pronouns, verbs and short phrases. As well hand shapes
and animated movements will be used to develop the flexibility required to sign. Signing will increase your
confidence by learning that vision is needed and it takes ongoing comprehending, receptively and expressive
signing skills to ASL or SEE.
Registration fee of $125.00 is required to confirm registration. Please make cheque or money order payable to
CHHA-Edmonton Branch.
Registration and payment maybe completed online or brought to the office during office hours or mailed to:
CHHA – Edmonton Branch
Cheque/Money order [ ]
Suite 52, 9912 – 106 Street
Cash (do not mail) [ ]
Edmonton, AB
PayPal (Online) [ ]
T5K 1C5
Amount: $
Confirmation of registration will be emailed and receipt for payment given out in the first class.
We ask you provide to the following information in order to provide this serve to you, and comply with the
provisions of various legislation, including the Personal Information Protection Act:
I hereby consent to:
☐ CHHA-ED using my name and/or image on the CHHA-ED website, newsletters, and brochures for promotional and information purposes.
☐ CHHA-ED using electronic email as a main means of communicating with me.
Please sign and date if you give consent:
Signature:
Date:
Canadian Hard of Hearing Association – Edmonton Branch (CHHA-ED)
Suite 52, 9912 - 106 Street, Edmonton AB T5K 1C5
Phone: (780) 428-6622 (Voice or TTY)
FAX: (780) 420-6661
E-mail: [email protected]
Website: www.chha-ed.com