Deaf Model Form for Baby Sign Language Website

 

Hi, thank you very much for your interest in becoming a demonstrator of signs for parents who are wishing to teach their babies sign language; thereby facilitating communication at a much sooner rate!

We appreciate your time! Please fill out the simple form below, and when finished, click on the submit button at the bottom.

We will review all applications and respond within the next few days.

Thank you again, and good luck!

 

Deaf Child Model (or Coda / Koda)
Please note that all fields followed by an asterisk must be filled in.
Is your child Deaf or Hard of Hearing?*
Yes, my child is Deaf or HOH
No, my child is not Deaf or HOH; but signs fluently
No, my child is not Deaf or HOH and does not sign
Does your child attend or attended Deaf school?*
My child attends a Deaf school
My child used to attend a Deaf school
My child has never attended a Deaf school; is mainstreamed in a Deaf program
My child has never attended any school nor program specifically for the Deaf
My child signs ASL, PSE, or SEE*
Signs ASL fluently
Signs PSE fluently
Signs SEE fluently
Signs, but not fluently
Does not sign
Is your child shy?*
No, not shy at all
Yes, but warms up quickly
Yes, very shy
Does your child have any prior camera experience? (Preferred, not required)*
Yes
A little
No
Age of your child(ren)?*
2
3
4
5
6
7
8
9
10
11
12
13 - 16
First Name*
Last Name
E-mail Address*
City*
State/Prov*
Zip/Postal Code*

Please enter the word that you see below.

  

 

Thank you!!