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Individual Forms

Level II: Families in Transition Form

FAMILIES IN TRANSITION LEVEL II REGISTRATION

About You
First Name *
Last Name *
First Name
Last Name
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
I agree to accept texts at this number:
About Your Case
Is your case filed in court?:
Have you been court ordered to participate in the parenting class?:

Parents are not allowed to take the class together when participation is court ordered.

About the Other Parent
First Name *
Last Name *
First Name
Last Name
About the Child/Children
Click all age ranges that apply:
Class Options
Choose one:

If you select Zoom livestream, remember, you must be able to have your camera on and have microphone access to the entire 2 hours to receive credit for the course.

$190.55
Credit Card Information
Visa MasterCard American Express Discover
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
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