th
415 NW 5
Street
Oklahoma City, OK 73102
405.232.8226
Co-Parenting and Divorce Workshop
REGISTRATION FORM
Name
Address
City
State
Zip
County
Primary Phone
Secondary Phone
E-mail address
Date you wish to attend
$40 ________Cash
_________ Money Order
$45
Credit Card
Credit Card Expiration Date
Credit Card CVV#
Former Spouse
Case#
Judge’s Name
Attorney’s Name
Has a Victim’s Protection Order (VPO) been issued on either party?
Payment for seminar is non-refundable.
A $5 administration fee will be charged to reschedule.
Payment must be received by 1pm THREE days prior to the seminar.
To register, download printable forms
at
and return to Family
Builders with payment.
Family Builders does not provide child care, nor will children be permitted to attend
the seminar.
Couples are not permitted to attend the same seminar.