"Successful Co-Parenting" Registration
PLEASE READ THIS AND COMPLETE THE FOLLOWING FORM BEFORE YOU PROCEED WITH PAYMENT

CALENDAR:
- 1st Saturdays: EVERETT (Everett Community College) 9 am to 1 pm
- 2nd Saturdays: MOUNT VERNON (Skagit Unitarian Universalist Fellowship) 9 am to 1 pm
- 3rd Saturdays: EVERETT (Everett Community College) 1 pm to 5 pm
- 4th Saturdays: (SPANISH VERSION: Co-Paternidad Exitosa)
- 5th Saturdays: MOUNT VERNON (Skagit Unitarian Universalist Fellowship) 9 am to 1 pm

COST: $ 125
+ Proceed with payment AFTER COMPLETING THIS REGISTRATION.
- ONLINE: PayPal o Credit Card.
- BY MAIL: Check or Money Order to "Successful Co-Parenting" P.O. Box: 135, Mt. Vernon, WA, 98273
+ Includes: Certificate, Parking, Coffee, Snacks and, 2 years membership to "Successful Co-Parenting Club".
+ Sliding Scale Fee for low income participants:
- Include a recent proof of net income (from all sources:wages, child support, etc)
Net Monthly Income of parent COST
- $ 3,501 or higher $ 125
- From $ 2,501 to 3,500 $ 100
- From $ 2,001 to 2,500 $ 70
- From $ 1,501 to 2,000 $ 40
- From $ 0 to 1,500 $ 20
- If you are applying for a discounted rate DO NOT PAY ONLINE. Please mail payment with proof of income, at least 1 week in advance to the seminar. If no income, write and sign a no income financial declaration. Send payment to: “Successful Co-Parenting”, PO Box 135, Mount Vernon, WA, 98273.

TRAINING POLICIES:
a) Payment due at least 48 hours before the event
b) Parents will be scheduled separately unless they submit a written request.
c) Rescheduling at no additional cost when we are notified 7 days in advance. subject to space availability.
d) No children nor pets allowed.
e) Contact us about any special needs.

CUSTOMER SERVICE: Voice / Text 360-399-6429, Email: Contact@SuccessfulCo-Parenting.com

PLEASE FILL IN THIS FORM BEFORE YOU PROCEED WITH PAYMENT

Email address *
Name (as appearing in Certificate) *
Your answer
Tel *
Your answer
What date and place, do you want to attend? *
Case Number *
Your answer
Are you petitioner or respondent *
Superior Court *
Name of the other party: *
Our policy is that we will not schedule both parties on the same date. Other wise uncomfortable and unsafe situations can be created. If both parties wish to participate together, we will need a written statement to proceed.
Your answer
Are you low income and qualify for a discount on the seminar cost? *
The fee for the seminar is on a sliding scale based on net monthly income. (Net Income is determined by deducting taxes and social security from your gross income) Do NOT subtract any other deductions or payments to determine your income. (See Fee Schedule Chart) If you pay less than the full $125 fee. you must provide verification that you fall within the income bracket used. It can include pay stubs, child support checks, welfare or DSHS paperwork, unemployment or disability paperwork, or a signed hand written financial declaration if you have no income.
Please share name and age of children. *
Example: Mary 8 years, Peter 3 years, Elly 4 months,
Your answer
From 1 to 5, how strong is the current dispute *
We get along
We can't have a conversation, and we hate each other.
Are you represented? *
Submit
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