Seminar Registration Form - child development, child discipline, children education, children needs, children self-worth, children socialization, coparenting, coparent, coparents, custody, divorce, divorce agreement, marriage therapy, divorce therapy, nonadversarial, parent plan, parent plans, parent conflict, parenting plan, parent skills, renegotiation, separation, single parent, single parents, visitation, collaborative, child academic or psychological difficulties


National Family Resiliency Center Parenting Seminars Registration Form

	Fee: $100 for 6 hour Parent Education Program Pre registration Options: Send a completed registration form with payment (money order or credit card information only) Fax (Visa, MC or American Express) payments to 301-596-1677 Register online at www.divorceABC.com NO PERSONAL CHECKS ACCEPTED PRE REGISTRATION AND PRE PAYMENT REQUIRED If you are court ordered to attend the parenting seminar, you must attend within the timeframe specified in your individual court order. You will receive a certificate of completion at the end of the seminar which you will need to present to the court. Location registering for: __________________________________ Dates registering for: ____________________________________ Name: ________________________________________________ Address: ______________________________________________ City: ______________________ State: ________ Zip: _________ Home Phone: _______________ Work Phone: ________________ Court Order Number (if ordered): ___________________________ Court: P.G County Howard County Ages of Children: ________________________________________ Mail all registration forms to: NFRC Center 2000 Century Plaza, #121 Columbia, MD. 21044 Credit Card Payment: VISA Master Card American Express Card #: _______________________________________________ Exp. Date: ______________ 3 Digit Security Code: _____________ Cardholder’s Name: ______________________________________ Signature: ____________________________________________