Registration Form

Education for Families in Divorce Transition
 
Name:
__________________________________________
Address:
__________________________________________
__________________________________________
Day Phone:
(_____) - ____________________
Eve Phone:
(_____) - ____________________
 
 
  Have you been court ordered to attend? Yes: No:
If yes, state county:___________________________
 
 
  Is there a current Order for Protection? Yes: No:  
 
 
Registration fee is $65.00. Make check payable to District #544
 
Send registration and fee to:
Community Education
117 W Washington Ave.
Fergus Falls, MN 56537

   
Completed registration form with payment (or proof of IFP)
MUST
be received one week prior to the first session.