If i am required to attend a court mandated Parenting Class, I acknowledge that this is NOT a court approved class and I will not be accepted for enrollment. If I am not forthcoming of court requirement and enroll, I WILL NOT receive documentation as proof of attendance, will be terminated from class immediately, and there are no refunds.
I acknowledge that completing this form is for general information inquiry(s) and not for use for Medical concerns or emergencies. It also does not formulate an agreement for services. I am also aware that Internet email is not completely secure nor confidential. This form is not encrypted/secure. I am over the age of 18 years old.
I acknowledge I am honest and truthful in my responses in this form.