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Parent Education Registration

Girl in a field of flowersChildren need extra support and attention during difficult times. Our Parent Education Program will provide the skills to lessen the impact of family changes.

Important: Each person can only register him/herself; you cannot register for the other party.

After you have completed the following form, FCS will contact you to process your payment and complete your registration; you are not registered until this occurs. This option is only available for those using Visa or MasterCard. Registration is not guaranteed until credit card payment is received. Other registration methods are available.

Parent Education Program Registration Form

1. Personal Information
Full Name:
(Please include middle name)		 First:
Middle:
Last:
Date of Birth: mm/dd/yyyy
Address: Apt# :
City: State: Zip:
Primary Phone: (xxx) xxx-xxxx   Home    Cell    Work    Other
Secondary Phone: (xxx) xxx-xxxx   Home    Cell    Work    Other
E-mail:
Please keep my contact information confidential from the other party.
Yes No

2. Class Day and Date Preference
Primary choice
Secondary choice
** En Español Please note: when selecting a class date, please be aware that our classes often book up several weeks in advance. The fact that a class date shows up in the drop down menu does not mean that it is still available.

3. Court Case Information
Case Number:
Filing Type:
Filing Date: mm/dd/yyyy
Filed in:
I am the:

Other Party's Full Name:
Please include middle name)

 First:   
Middle:   
Last:

4. Safety Information
Family Court Services will register parties to the same court case in different classes if either party answers “yes” to any of the questions listed below.
Yes No There has been a Restraining Order in effect between myself and the other party in the last year.
Yes No There has been domestic violence between myself and the other party the last year.
Yes No I would prefer to attend a separate class from the other party.

5. Accomodations Information
Yes No Do you require interpretation services? Language
Yes No Do require any other accommodations?
 
  • FAX
    Available 24 hours a day. Complete and print the Registration Form. Write your Visa or MasterCard number and expiration date on the form, and fax it to us at 503-650-5656. FCS will only call you if there is a problem with the registration.
  • Mail
    Complete and print the Registration Form and mail it with your check or Visa/MC number and expiration date. FCS will only call you if there is a problem with the registration.
  • Phone
    Call us during business hours. Please have your Visa or MasterCard credit card number ready. For faster service, complete and print the registration form ahead of time.
  • In Person
    You may register in person at our office during business hours. For faster service, complete and print the registration form ahead of time. Payment in person may be in cash, check or Visa/MC.