DivorceCare Registration

Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
If you plan on bringing children to our DC4K program, please list their names below
Child 1
Child 1
Child 2
Child 2
Child 3
Child 3
Registration Fee $20
includes workbook and covers all thirteen sessions We want everyone to be able to attend, and we understand that finances can be very tight during divorce. If you need help with the registration fee, all you have to do is check above and the registration will be paid from our scholarship fund.