"*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Your InformationName* First Last Email* PhoneBilling Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Anger Management $50.00 Enrollment (Includes: Proof of Enrollment, Progress Reports, Class Materials and Handouts, and Certificate of Completion) $35.00 for 1st session Total: $85 (Ongoing charge for each class: $35)Domestic Violence Program (52-Week Program) $100.00 Enrollment (Includes: Proof of Enrollment, Progress Reports, Class Materials and Handouts, and Certificate of Completion) $50.00 for 1st session Total: $150.00 (Ongoing charge for each class: $50)Parenting Classes $40.00 Enrollment fee (Includes: Proof of Enrollment, Class Materials and Handouts, and Certificate of Completion) $20.00 for 1st session Total: $60.00 (Ongoing charge for each class: $20)One on One Counseling Private (In-Person) Counseling Total: $130 (Per Person/Per Session)Choose class type. All classes can be court ordered or voluntary.Registration Type (Fee includes enrollment fee and 1st session) Anger Management ($85) Domestic Violence Program ($150) Parenting Classes ($60) One on One Counseling ($130) Anger Management Price: Domestic Violence Price: Parenting Class Price: One on One Counseling Price: All payments must be made 24 hours in advancedTotal Credit Card Cardholder Name Card Details