Registration form for Online Course
Client Details
First Name:
*
Last Name:
*
Address:
*
City:
*
State and Zipcode:
*
Email:
*
Phone:
*
If you have an attorney please fill in their information as well, otherwise skip to the end to submit.
Attorney Details
Attorney's First Name:
Last Name:
Address:
City:
State and Zipcode:
Email:
Phone:
I attest under perjury of law, I am the one taking the MN Coparenting Course.
Important:
You will be redirected to a secure payment page to submit payment with any major debit/credit card. Upon successful payment, you will be redirected to create a login profile and begin the course.