Divorce Impact Education Registration
Divorce Impact Education is offered twice a month: on the second Thursday of the month at 5:15 PM, and on the fourth Tuesday of the month at 5:15 PM.  The class meets online via Zoom.  The Zoom link and class materials will be emailed to you before the class.  Because we need to send that email and you need time to review the materials, the deadline for signing up for a class is NOON the day before the class, so Noon on Monday for a Tuesday class and Noon on Wednesday for a Thursday class.  Note that we will be available on the Zoom link by 4:45 PM on the day of the class to allow you to log in and test your connectivity; also, if you do not maintain two-way connectivity for the duration of the class you will not receive credit for the class with the court.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address *
Phone Number *
Which class do you want to attend? *
Case Number, **INCLUDING THE COUNTY WHERE THE CASE WAS FILED** (Usually Harvey - HV - or McPherson - MP).  Example:  HV 20-DM-853.  Leading zeros are not necessary. *
Required fees:
The cost for this class is $125 per person. Your options to pay are as follows:

Credit card (MC, Visa, or Discover) by calling (316) 284-5217.  In the likely event that your call goes to voicemail, leave your name and phone number and tell me that you want to pay for the Divorce Impact class.  I will call you back (from a (620) number) and identify myself and say that I'm calling for your credit card number for the Divorce Impact class.
Mailing a check, cashiers check, or money order (made out to KIPCOR)  to KIPCOR, P.O. Box 276, North Newton, KS 67117

You can pay after the class is over, but your attendance will not be reported to the appropriate court until you have paid.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bethel College.