Client Details
First Name:
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Last Name:
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Address:
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City:
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State and Zipcode:
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Email:
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Phone:
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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 Nebraska Co-Parenting 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.