Sign Up for Co-Parenting Class

This information is required by grants that make this programming possible.  All information is secure and legally protected from disclosure by the Health Insurance Portability and Accountability Act (HIPAA). 

Payment of $45 must be made at the time of registration for the Murfreesboro seminar. 

You may register at least 48 hours in advance of the class date. No checks accepted. Classes do fill up quickly, so reserve your spot today. 

Please note that divorcing parents will not be permitted to attend the same class.

*All fields with asterisks required for registration  

*County of Residence:
*Cell Phone
Home Phone

Add to Email List
*Date of Birth
*How were you referred to our services?
*Referral Source Name:
*Briefly explain why you are attending this class
*Co-Partner’s full name
If divorcing, in what county was the divorce filed?
*Select county you would like to take the class in
*Date of Class
*Date of Class