"*" indicates required fields NameThis 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 Prevention 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) $30.00 for 1st session Total: $70.00 (Ongoing charge for each class: $30)One on One Counseling Private (In-Person) Counseling Total: $150 (Per Person/Per Session) *$95 (1st Session/Per Person)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 Prevention Program ($150) Parenting Classes ($70) One on One Counseling ($150) Anger Management Schedule Sundays Only Monday & Wednesday Only All 3 Days (Sunday / Monday / Wednesday) Domestic Violence Prevention Schedule Sunday 7am - 9am PST (we’ll accept based on their circumstance like work or need a Spanish Interpreter) Sunday 1pm - 3pm PST Although there are two classes listed, you are ONLY allowed to attend ONE time slot per week, per state mandate. There will be NO double class participation.Parenting Schedule Friday Classes 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
