Yardley Associates, LLP Parent Education Program Online Registration
Please only register yourself. Each parent must register separately.
How did you hear about our classes?
Family or Friend
Lawyer or Mediator
If you heard about us from a lawyer or mediator, what is his/her full name ?
What Parent Education Program Class would you like to attend?
Manchester / Tolland August 20 and August 21 from 6pm to 9pm
Enfield / Somers September 14 from 8:30am to 3:30pm
West Hartford / Hartford September 15 from 9am to 4pm
Glastonbury / East Hartford September 16 and September 18 from 6pm to 9pm
Windsor/ Bloomfield / Granby October 2 and October 3 from 6pm to 9pm
Enfield / Somers October 5 from 8:30am to 3:30pm
West Hartford / Hartford October 6 from 9am to 4pm
Manchester / Tolland October 28 and October 30 from 6pm to 9pm
Enfield / Somers November 2 from 8:30am to 3:30pm
Wallingford / North Haven November 3 from 9am to 4pm
West Hartford / Hartford November 17 from 9am to 4pm
Farmington / Avon November 16 from 8:30am to 3:30pm
The fee for the class is $150. How will you be paying for the class?
I will bring $150 in cash or money order to the class
I will send a $150 check one week prior to my class to: Yardley Associates, LLP PO Box 1103, Windsor, CT 06095
I will bring a signed copy of my court waiver form to the class.
You have the right to attend the class together or separate from any individual. Is there anyone who you do NOT want to attend the same class as you?
Yes, I do not want a specific person attending the class with me
No, I have no preferences who attends the same class
If yes, please type in their first name and last name.
Have their been any safety concerns or domestic violence issues between you and your child(ren)'s other parent?
Yes, there have been safety concerns or domestic violence issues
No, there have not been safety concerns or domestic violence issues
If yes, please explain.
Are there currently any active restraining orders, protective orders or no contact orders for either parent?
Yes, there are restraining/protective/no-contact orders
No, there are not any restraining/protective/no-contact orders
If yes, please include the type of order and the full first and last name of all individuals on the order.
You are welcome to bring an adult guest (over 21 years old) with you to the class free of charge. Your guest may NOT be another adult who is ordered to take the class NOR can it be one of your children. Would you like to bring an adult guest with you to class?
Yes, I would like to bring a guest
No, I would not like to bring a guest
If yes, please include your guest's first name and last name.
Do you have any special needs to assist you in attending the class?
Yes, I have special needs for attending the class
No, I do not have any special needs for attending the class
If yes, please describe how we can best meet your needs.
Please answer below that you understand that filling out this form does not guarantee a spot in your selected class. If Yardley Associates, LLP is able to accommodate your request, you will receive a confirmation email that you are registered for your desired class. If your requested class is not available, we will offer you an alternative class via email or phone.
Yes, I understand filling out this form does not guarantee me a spot in my selected class, and I will receive an email confirmation when registered.
Send me a copy of my responses.
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