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    Domestic Relations Court

    Pre-registration Form for the Helping Children Succeed After Divorce seminar
    Your registration will be confirmed and completed when the Parent Education Department contacts you with the seminar location and directions.
    Confirmation is required for seminar admittance.

    Name (as listed on case):
    Court Case Number: (Enter Format: YYYY XX 00000 )
    [If you don't have or forget the Court Case Number, please call Tina Kavy 225-4092]
     
    Daytime Telephone Number: (Area Code-999-9999)
    E-mail Address:
     
    Date and Time of Seminar you wish to attend:
      2014 Seminar Schedule
    2015 Seminar Schedule
     
    Alternate Date and Time of Seminar you wish to attend:
      2014 Seminar Schedule
    2015 Seminar Schedule
     
    Would you feel comfortable attending the seminar
    with the other parent?
    Comments: