Sign Out Loud

2047 Mt. Carmel Ave. Glenside, PA 19038 215-572-5139 www.signoutloud.net

Registration Form

Spring 2008 classes begin April 2nd

Parent’s Name(s): __________________________________________________________

Address: ________________________________________________________________

Address Cont: ____________________________________________________________

Email Address: ____________________________ Phone: __________________________

Name of Child: ____________________________ Birth Date: ________________

Name of Child: ____________________________ Birth Date: ________________

Name of Child: ____________________________ Birth Date: ________________

Name of Child: ____________________________ Birth Date: ________________

Please circle day, time and class you are requesting:

Parent/child classes: 10 week session beginning April 2nd 145.00 per child; siblings may join for 80.00

Each class is 35 -45 minutes 15.00 registration fee for first time families

Glenside

Come Sign With Me, Level 1 Wednesday 11:00 am

Thursday 10:00am

Come Sign With Me, Level 2 Wednesday 10:00am

Doylestown

Come Sign With Me, Level 1 Friday 11:00

Friday 12:00

New Adult Class- Glenside

Beginner Class Tues. 6-7:30 pm 210.00 for 10 week class

Please send registration form with payment (checks should be made to Sign Out Loud, LLC ) to:

2047 Mount Carmel Ave. Glenside, PA 19038