Sign Language Class Enrollment Name * Name First First Last Last Phone * Email * Birthdate * Gender * Race * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal I grant The Center permission to use my name, photo and/or likeness in any public relations, marketing or fundraising materials. * Yes No Which class are you signing up for? * Owasso Sign 1 + Book: $140.00Owasso Sign 1: $120.00Owasso Sign 2: $120.00Tulsa Sign 1 + Book: $140.00Tulsa Sign 1: $120.00Tulsa Sign 2: $120.00 If you need a book make sure you select Tulsa Sign 1 + book or Owasso Sign 1 + book! Total How will you be making your payment? * Online PaymentMailing PaymentPaying on first Day of Class Complete this form and then drop off payment or mail payment to: TSHA 8740 E 11th St, Ste A Tulsa, OK 74112 Hours are Monday-Thursday 9am-4pm. Credit Card * If you are human, leave this field blank. Submit
