STEPS by Kei-Che Summer 2021 Registration Form

Songs To Enhance People Signing

(STEPS by Kei-Che) 2021 Summer Registrations
Name of Adult:

First Name Last Name
Child's Name:

First Name Last Name
Additional Child's Name:

First Name Last Name
Additional Child's Name:

First Name Last Name
E-mail
example@example.com
Phone Number:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birth Date of participant:

Month Day Year
Where did you hear about us?

A Friend Facebook Instagram Browsing Other
When would you prefer to attend ASL sessions?

Mornings- Weekdays Mornings- Weekends Evenings- Weekdays Evenings- Weekends
Questionnaire of your background in American Sign Language(ASL)/ Black American Sign Language (BASL)/Signed Exact English (SEE)/ Pidgin Sign Language (PSE)

STEPS by Kei-Che uses a mixture of different languages to bridge the gap between Deaf and hearing communities. The following questions will share more about your intentions.
1. Have you ever been involved with any Deaf community?
2. Are you Deaf or Hard of hearing?

Yes No Someone in my family is.
3. Why are you interested in learning ASL with STEPS by Kei-Che?
5. How do you currently bridge the gap between Deaf and hearing communities?
To avoid service fees and all funds to be directed to programming, STEPS by Kei-Che is accepting donations via PayPal, Venmo, CashApp, or mail of check.

PayPal: stepsbykeiche@gmail.com

Venmo: @stepsbykeiche

CashApp: $stepsbykeiche

Address: Please email stepsbykeiche@gmail.com for further instructions.

Thank you for your kindness. -Ms. Kei-Che
Once you submit your registration, Ms. Kei-Che will contact you with 24-48 hours to share the next session updates.

Thank you for being committed to bridging the gap between Deaf & hearing communities! We are shifting the culture!
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Songs To Enhance People Signing

Questionnaire of your background in American Sign Language(ASL)/ Black American Sign Language (BASL)/Signed Exact English (SEE)/ Pidgin Sign Language (PSE)