Phone *

Address

Please indicate how you would like your name printed on your certificate

Please take a moment to tell us a little about yourself.

There is a one time non-refundable $35 intake/registration fee that must be paid in advance. Once your registration is complete, a confirmation email will be sent to you within 2-3 business days.

If court involved, when is your next hearing?

Are you involved with Child Welfare Services? (CPS?)

Yes

If yes, please enter your social workers name and phone number?

Email: *

CoParentingSolutions

Parenting AND Co-Parenting class registration fORM

Which class would you like to attend? If there are multiple classes, a separate registration form must be submitted for each class session. *

8 Week Parenting Class- Begins Thursday 5/25/23 from 6pm-8pm

Women's Co-Parenting Class begins Monday 6/19/23 from 6pm-8pm

Men's CoParenting Class begins Thursday 6/22/23 from 6pm-8pm

*Is there a restraining order? (If there is a restraining order parents will be in separate zoom meetings throughout the entire 6-week program.)

Yes

Attorney Information (if applicable)

Your Name: *

Please provide the other parent's name below *

Parenting AND Co-Parenting class registration fORM

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Locations in riverside

and san diego county

PHONE: 951.249-3816

or 619.483-1035