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Finding New Ways to Learn.

                                       
   

Little Hands Signing

littlehands_signing@yahoo.com

 

Pre-Registration is required to attend courses because spaces are limited. Other courses will be provided based on availability. Please call to verify course availability.

Please fill out registration form and return with payment to reserve your space in course.

 

Registration Form :

 

Little Hands Signing
Adam Dieter
4 East Henrietta Road
Rochester, New York 14620
585-464-9774
 

 
 
Registration Form
 
Parents / Guardians are required to stay with their child for entire class session, and are welcome to participate in class activities. 
 
Pre-Registration is required to attend this course. Class size is limited (on a first-come basis). Please call to confirm seat availability. Additional class sessions will be provided based on interest and trainer availability.
 
Registration Form: (Please include Cash or Check*)
 

 

Class Name: ______________________________________
Class Dates: ______________________________________
Name of Student: ________________________ Age: ______
Parent / Guardian Name_____________________________
Address: __________________________________________
Phone: _________________ Cell Phone: ________________
Email: ____________________________________________
 
Parent/Guardian Signature: __________________________ Date: __________
 
May we email you regarding future class offerings (please circle one)?   Yes          No
(Your personal information will not be shared and is for Little Hands Signing records only.)
 
*Please make checks payable to Little Hands Signing. There will be a $30 fee on any returned checks.
 
Refund Policy: Full refunds will be given if notice of cancellation is given no less than 30 days prior to first class. A 50% refund will be given for notice of cancellation no less than 7 days prior to first class. No refunds will be given after first class.

 



 
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