Registration Form for Level 4 Course Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Have you previously taken classes with ASL Pinnacle? *YesNoIf you haven't taken classes with ASL Pinnacle, I encourage you to arrange 15-minute assessment via Zoom. This will help me determine if this level is the most suitable for you. To schedule an arrangement, click here. (Note: The assessment costs $20, which can be credited towards your class fee should you choose to enroll in a course) If you are confident this is the right level for you, please proceed with registration. Your Name *FirstLastYour Pronouns (optional)Email *EmailConfirm EmailAddress *Address Line 1Address Line 2CityState / 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 IslandsCountryWhat is your background in ASL? *How did you know about ASL Pinnacle? *FacebookInstagramTikTokGoogle SearchWord of MouthThreadsOtherPlease specify where and/or who so I can thank them. *NextCourse Requirements You will need a working computer or laptop (please – no smartphones or tablets) with reliable WiFi. If a member in your household wants to sign up as well, they must use their own device (no sharing screens). Please note that other computers/devices using the same network, while in a Zoom meeting, can cause your network to slow down. Prior experience using Zoom with multiple participants, including how to adjust camera views, pin videos, and manage shared screens. You should feel comfortable navigating Zoom in a class setting with up to 14 participants. If you’re not familiar with these features, taking a Zoom tutorial or training session before the course begins is strongly recommended. Have basic technology skills, including using the Internet and Zoom. Good vision is essential as to effectively view hand and facial movements on the screen as well as the slides shared during class. Be able to attend 6 out of 8 classes. (Should you anticipate missing more than two classes, please reach out to discuss a suitable solution.) Be prepared for adult-level discussions. Class content may occasionally include sensitive or complex topics related to identity, culture, and lived experiences. We expect all students to engage with openness, courtesy, and respect for diverse perspectives. Out of respect for privacy, recording of the class is not allowed. I have read and understood the course requirements. *Yes, I confirm that I meet these requirements and am prepared to participate fully in the course.NoNextRegistration & PaymentWould you like to receive a Certificate of Completion upon successful completion of the course? *YesNoWhich section would you like to sign up for?First ChoiceSecond ChoiceThird ChoiceWould you like to pay for the course in full today, or choose a two-payment plan? *Pay in full ($209 plus 8.7% sales tax) - $227.18Payment Plan ($114 plus 8.7% sales tax - save $30!) - $114.00 Payment Plan: Two-payment plan of $114 per installment. The first payment is due at registration. The second payment will be charged automatically approximately 30 days later, on or before March 8, 2026. Payment plans must be selected by April 8, 2026. After this date, registration and payment plan options will no longer be available. If you have a code, enter it here then click 'Apply' Apply Total Cost * Order Summary Item Quantity Qty Total There are no products selected. Would you like to pay for the course in full today, or choose a two-payment plan? - Pay in full ($209 plus 8.7% sales tax)1$227.18Would you like to pay for the course in full today, or choose a two-payment plan? - Payment Plan ($114 plus 8.7% sales tax - save $30!)1$114.00SubtotalTotal$0.00 $0.00Stripe Credit Card *Register