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If check 'Other', please fill out below....
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T-shirt
$30.00 + $1.00 fees (Online)
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Please Answer the Following Questions:
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Deaf
Hard of Hearing
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Have you ever participated in a Total Immersion Program?
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No
If yes, where and when?
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How did you hear about AZTI?
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Please select which signing level:
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1 Beginner: From no signs to short 1 to 2 sentences.
2 Intermediate: Between 2 to 4 sentences and between slow to moderate signing speed.
3 Advanced: Can have a casual conversation in ASL, including depictions (Classifiers), Surrogates (Role Shifting), Use of Space, and between moderate to smoothly signing speed.
4 Interpreting Practice: This is including Advance group but also is interested to practice in interpreting.
Optional: Additional comments regarding signing level
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Room request for accommodations. If yes, please fill in the comment box.
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No
Yes
Comments:
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Roommate Request. If yes, please name the person in the comment box. No guarantee.
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No
Yes
Name
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Room request alone. (Additional of $200.00)
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No
Yes
Food Restrictions. If yes, please list all the diet restrictions in the comment box.
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No
Yes
Comments:
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Other special needs. If yes, please fill in the comment box.
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Yes
Comments
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Payment Method
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Check
Credit Cards - Processing fee $25.00
* 1
st
Early Bird:
$900.00
Postmarked by Feb. 28, 2022
(If you made the deposit of $100.00, pay the difference of $800
.00 by Feb., 28, 2022)
* 2nd
Early Bird:
$935.00
Postmarked by May 31, 2022
(If you made the deposit of $100.00, pay the difference of $835
.00 by May 31, 2022)
* After June 1, 2022
$965.00
* Registration is limited to 40 participants!!!! HURRY
* Credit Cards processing fee = $25.00
* Paypal processing fee = (Not accept at this time)
* NOTE: I'd strongly recommend you to mail the checks in order to avoid paying the processing fees. You can pay monthly the amount of $900 by May 31, 2022.
*
The $100.00 registration fee to hold your spot is
nonrefundable
.
If additional money has been paid and participants must cancel, contact ASL AZTI at
AZTIAdm@gmail.com
no less than 30 days prior
to the start of the retreat on July 1, 2022. No refunds for cancellation (regardless of reason) less than 30 days of the start of the retreat. However, if a participant must cancel less than 30 days prior to the start of the retreat, the participant may transfer her/his slot to someone and arrange to recoup money or the participant may donate the slot as a scholarship.
* To reserve your spot, please send a check and mail to this address below:
Mailing Address:
ASL Arizona Total Immersion
P.O. Box 12052
Tempe, AZ 85284
Email address: AZTIAdm@gmail.com
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 email confirming my registration from the registrar.
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