REGISTRATION FORM Read My Lips: A Closer Look at Mouth Morphemes Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPlease type your name exactly as you would like it to appear on your Certificate of Completion.Pronouns (optional)Email *EmailConfirm EmailMailing Address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAre you Deaf/HoH/Hearing? *Deaf/HoHHearingWhat is your ASL background? *InterpreterCurrently an Interpreting StudentCurrently an ASL StudentCurrently learning ASL independentlyTook ASL classes in the pastOther (please specify)What level best matches your most recent ASL class (either university or ASL Pinnacle)? *ASL 1 (e.g., university ASL 1 or ASL Pinnacle Level 1A/1B)ASL 2 (e.g., university ASL 2 or ASL Pinnacle Level 2/3)ASL 3 (e.g., university ASL 3 or ASL Pinnacle Level 4)ASL 4+If you are currently an ASL or Interpreting student, please list your school. *If you selected "Took ASL classes in the past", please list where you studied ASL. *If you selected "Interpreter", please provide the name of the school where you studied ASL and the number of years you have worked as an interpreter *If Other, please specify:How did you hear about this workshop? *Social MediaGoogle SearchReferred by a Colleague or InstructorEmail from ASL PinnacleASL Pinnacle WebsiteFriends/FamilyOtherPlease mention who, so we can thank them. (optional)If you selected "Other", please specify:If you selected "Social Media", please specify which platform(s) below. *InstagramTikTokFacebookYouTubeOther Social Media platform (please specify)If you selected "Other Social Media platform", please specify.Would you like to receive RID Continuing Education Units (CEUs) for this workshop? *YesNoCEUs are optional and available for an additional $10 (Total: $40).Please enter your RID or BEI (please specify which) member number. *Registration Payment Standard Registration *Cost: $30.00Registration with CEUs *Cost: $40.00Stripe Credit Card *Complete Registration
