O
S
Mobile phone number
An email that your Certificate will be sent to
Class Date:
Online Co-Parenting Class
Court Intake Form*
Full Name - As you would like it to appear on your Certificate
Street Address
City
State
Zip
Current marital status:
Divorced
Never Married
Married
Living apart (pending divorce)
Ages of children involved?
Children live with?
Type of court case:
Divorce
Custody
Support
Visitation
Other
Difficult issues you or your child/ren face as a result of your situation?
Court
How did you find out about For Our Kids Parenting?
Is the other parent involved in court classes?
Attorney
Mediator
CPS
Social Worker
Website
Other
Class Time:
CONTACT USIf yes, do you want to be in the same class?
Co-Parenting: Two Parents
Two Homes (Court Ordered)
Cost $50 per person
$90 per couple (Four- hour class)
Co-Parenting: Two Parents
Two Homes (Teens)
Cost $30.00 per person
$20 per couple additional (Two-hour class)
Co-Parenting: Two Parents
Two Homes (Parenting)
Cost $30.00 per person
$20 per couple additional (Two-hour class)
