28th Annual Sign Language Interpreter Workshop and Faire
AT
El Camino College
16007 Crenshaw Blvd.
Torrance, CA  90506

Print This Registration Form

Date:  April 30, 2005       Time:  7:30 am - 4:00 pm.

NAME_______________________________________  Phone_________________________

ADDRESS:____________________________________ City_________________ ZIP______

Cost:    ______ $50.00 Registration Fee
            ______ $35.00 ECC Student or Staff Member
                        (Please write your El Camino College Student or Staff Number) ___________
            NOTE:  $75.00 at the door.

** Box Lunch is provided at no additional cost.  Soft drinks are $.75

            ______ Regular box lunch please            ______ Vegetarian box lunch please

Workshop Levels

Level 1:  Beginning/Intermediate ASL Students
Level 2:  Advanced ASL Students and Beginning Interpreting Students
Level 3:  Advanced Interpreting Students/Beginning Interpreters
Level 4:  Seasoned Interpreters

Please indicate if you are:    _____ Level 1     _____ Level 3

                                          _____ Level 2     _____ Level 4

Please indicate if you are:     _____ Deaf        _____ Hard of Hearing

• Register by: April 23, 2005!  NO REFUNDS OR CONFIRMATIONS will be sent.  
• Make checks or money orders payable to:  El Camino College.  (Do not send cash)
• Print one form per person please.

Mail this form and registration fee to:  RITC, 750 Terrado Plaza #205, Covina, CA  91723 

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