Parents Forever of West Georgia Registration Form

  • Cost-$35 per person
  • Class will begin on time
  • Pre-registration is encouraged
  • Completion Certificates
  • Child care is not provided
  • Snacks will be available

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* Denotes Required Fields.

Which date do you want to request a class
(Month and Day)?

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First Name*:
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Last Name* : _________________________________
Address:
 _________________________________
City:
 _________________________________       Zip*: _____________
 
  
Home Phone:
(             )           -
Work Phone
(             )           -
e-mail:
  
 
Attorney's Name*:
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Where was divorced filed (County)?*
 _____________________________________
Case # (From your attorney or clerk's office) *:
 _____________________________________
Ages of Children:
_____________________________________
Do you have any questions?

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Cost-$35 per person

Money Order or Cash
No checks or credit cards accepted