ASL 2025 Class Registration Form
Registrant Information
We are so pleased you're interested in registering for an American Sign Language class at Deaf Action Center! Please complete this form to register. You will receive a confirmation email with your registration details. Thank you!
Contact Details
First Name
Last Name
Phone
How did you learn about us?
Please select...
DAC Website
Web Search (Google, Yahoo, etc)
Social Media (Facebook, Instagram, etc)
Friend or Family Member
Television Segment/News
Other
Email
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Street Address
City
State
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip/Postal Code
I am
Deaf
Hearing
Hard of Hearing
Class Selection
All classes
meet
once
a week for
six
w
eeks
on the days listed and meet from
6:30PM to 8 PM
unless otherwise stated. And all
in-person classes
will take place at our
Dallas office
unless otherwise stated.
What Level of ASL Class are you interested in?
ASL 101
ASL 102 (Pre-Requisite: ASL 101)
ASL 103 (Pre-Requisites: ASL 101, 102)
ASL 104 (Pre-Requisites: ASL 101, 102, 103)
ASL 105 (Pre-Requisites: ASL 101, 102, 103, 104)
ASL Kids' Classes
ASL 101-105 (See All Adult Classes)
Please Select the
ASL 101 Class
You Would Like to Enroll In
ASL 101 In Person (
Monday
-
Jun 9 to July 14, 2025)
ASL 101 In Person (
Wednesday
-
Jun 11 to July 16, 2025)
ASL 101 In Person (
Monday
-
Sept 15 to Oct 20, 2025)
ASL 101 In Person (
Wednesday
-
Sept 17 to Oct 22, 2025)
ASL 101 Virtual Lunch (
Monday
| 12PM to 1PM
-
July 28 to Sept 8, 2025) -
(No Class on Sept 1st)
ASL 101 Virtual Lunch (
Wednesday
| 12PM to 1PM
-
Sept 17 to Oct 22, 2025)
Please Select the
ASL 102 Class
You Would Like to Enroll In
ASL 102 In Person (
Monday
-
July 28 to Sept 8, 2025) -
(No Class on Sept 1st)
ASL 102 In-person (
Wednesday
-
July 30 to Sept 3, 2025)
ASL 102 In Person (
Monday
-
Nov 3 to Dec 8, 2025)
ASL 102 In Person (
Wednesday
-
Nov 5 to Dec 17, 2025) -
(No class on Nov 26th)
ASL 102 Virtual Lunch (
Monday
| 12PM to 1PM
-
Nov 5 to Dec 17, 2025) -
(No class on Nov 26th)
ASL 102 Virtual Lunch (
Wednesday
| 12PM to 1PM
-
Sept 22 to Oct 27, 2025)
Please Select the
ASL 103 Class
You Would Like to Enroll In
ASL 103 In Person (
Tuesday
-
Sept 16 to Oct 28, 2025) -
(No class Oct 21st)
ASL 103 Virtual Lunch (
Wednesday
| 12PM to 1PM
-
Apr 23 to May 28, 2025)
ASL 103 Virtual Lunch (
Monday
| 12PM to 1PM
-
Nov 10 to Dec 15, 2025)
Please Select the
ASL 104 Class
You Would Like to Enroll In
ASL 104 In Person (
Wednesday
-
Apr 23 to May 28, 2025)
ASL 104 In Person (
Tuesday
-
Jun 10 to July 15, 2025)
ASL 104 In Person (
Tuesday
-
Nov 4 to Dec 9, 2025)
ASL 104 Virtual Lunch (
Wednesday
| 12PM to 1PM
-
Jun 11 to July 16, 2025)
Please Select the
ASL 105 Class
You Would Like to Enroll In
ASL 105 In Person (
Tuesday
-
July 29 to Sept 2, 2025)
Please Select the
ASL Kids' Class
You Would Like to Enroll In
ASL 101 Kids In Person (
Monday
| 1PM to 2:30PM
-
Jun 9 to July 14, 2025)
ASL 102 Kids In Person (
Tuesday
| 1PM to 2:30PM
-
Jun 10 to July 15, 2025)
How much TOTAL for the Classes Signed Up for
Demographic Information
Why do we ask for this information? Our organizational funding depends upon the clients that we serve, and having this information helps us provide transparency and accountability to our funders. We appreciate your help!
Birthdate
Primary Language
Please select...
ASL
English
Spanish
Other (Please specify)
Gender
Please select...
Male
Female
Non-Binary
Prefer Not To Say
Race (please select all that apply)
Please select...
Asian
Hispanic/Latino
Native American
Native Hawaiian/Pacific Islander
Black/African American
White/Caucasian
Other
Marital Status
Please select...
Married
Widowed
Divorced
Separated
Never Married
Veteran Status
I am a veteran or active service member
I am not a veteran
Interested in other things happening at DAC?
Communication Preferences:
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I am interested in volunteering at DAC
I am interested in upcoming classes
Payment Details
*$100 per class. The registration fee for all of our ASL classes are non-refundable.*
Registration Fee
Additional Donation to DAC (Optional)
Total Amount to Charge:
Payment Information
Name as it appears on card:
Card Number
MM
YY
Code
Email for Receipt
Campaign for Fees
Contact Information