Cooperative Parenting & Divorce Sign Up

Name *

First

Last

Email *

Best Contact # *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Class Date / Time

Date

Time

Pick the day/time of the SELA Cooperative Parenting & Divorce class that you would like to attend

Were you court ordered to take this class?

If answer to previous question is 'yes,' what parish and docket #? *

If not court ordered to take this class, answer N/A

Do you have an attorney?

If you have an attorney, what is your attorney's name?

Is a hearing officer involved?

Marital Status - Choose One

Use the Dropdown Menuenu

Children

Please add children's ages and assigned sex at birth

Use a comma to separate after each child's info.

Additional Comments or Questions

Purchase Instructions

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PRICE INCLUDES SALES TAX

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