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Parent Information Program Registration

  1. For items that are not applicable, enter 'N/A'

  2. Is an Order or Protection Currently in Effect?*
  3. Are You Comfortable Being in the Same Class with the Other Parent?*
  4. Do You Have a Fee Waiver or Deferral from the Court?
  5. Do You Require the Assistance of an Interpreter?*
  6. Would You like to Receive an Automated Reminder of This Class by Phone?*
    Reminder calls are done the Wednesday prior to the class.
  7. Please Enter the Preferred Class Date and Location
  8. Leave This Blank:

  9. This field is not part of the form submission.