ASL 3 Plus

September 22nd through November 10th. November 17th will be a make up day.

6:00-7:30

This registration form is for any student who has had at least 3 class sessions of ASL with Carrie or prior approval (took other classes elsewhere).

Please fill out registration form before September 15th. Please mail/or pay in person before September 15th. Class fees on a sliding scale: $175-250. Cash/check only. No refunds will be given after September 20th.

Mail payment to: Carrie Pierce P.O. Box 12, Belfast, ME 04915

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Name

Address

Text (cell)

You will be contacted via text for changes to the class schedule (e.g. weather cancellations) and for confirmation.

Please check each statement below to indicate your acceptance:

I have mailed/given payment of $175-250 (sliding scale) and am able to commit to the 8 weeks of class. If I am not feeling well, I will not show up, but I understand that there will be no refund for missed class.(required)

Yes, I understand and agree.

I understand that the instructor is not responsible for any illness or injury. (required)

Yes, I understand and agree.

I understand that the instructor may need to cancel class (illness/weather), and I will go with the majority of the class votes in either a refund/make-up date/online class to make up for the cancelled session.(required)

Yes, I understand and agree.

I agree to try my best to not to talk in class. I am at least 16 years old.(required)

Yes, I agree, and I am at least 16 years old.