Company Name - Company Message
Two Parents  - Two Homes
(Court Mandated)
Please complete every question: Remember prior registration required in order for me to provide the letter for the judge.
Name (As you would like it to appear on certificate/letter to judge)
Cellular Number
Telephone #
Do you receive text messages on your cellular device?
Yes
No
Address
Email Address
Full Name(s) and Age(s) of children involved
Which Class Date are you planning to attend? If by chance you are unable to attend the class you signed up for you will be able to attend another scheduled class.
Other Parties Involved (To Ensure not enrolled in same class). By completing this section you are giving me permission to inform these parties that you are already enrolled in this particular class and they will need to enroll on a different date.
Would you prefer to be in a seperate class than the other parties involved?
Yes
No
You understand that you are not enrolled in this class until payment is received. You may sign up here and mail a money order however payment must be received a minimum of 48 hrs prior to class. Thank You!
Yes
Payment Method
Online Payment Submitted Today
Submitting by Mail
Court
Attorney Name
Court Date
 
 
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