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COUNSELING
Mental Health
Substance Use Disorders
Integrated Behavioral Health
School-Based Services
PROFESSIONAL
TRAINING SERVICES
KIDS’ TURN
Divorce transition
OUR TEAM
ABOUT
CONTACT
DONATE!
COUNSELING
Mental Health
Substance Use Disorders
Integrated Behavioral Health
School-Based Services
PROFESSIONAL
TRAINING SERVICES
KIDS’ TURN
Divorce transition
OUR TEAM
ABOUT
CONTACT
DONATE!
COUNSELING
Mental Health
Substance Use Disorders
Integrated Behavioral Health
School-Based Services
PROFESSIONAL
TRAINING SERVICES
KIDS’ TURN
Divorce transition
OUR TEAM
ABOUT
CONTACT
DONATE!
Kids’ Turn Online Registration
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2021-03-15T12:24:41-07:00
REGISTER FOR
KIDS’ TURN
1. Contact Information
Legal First Name
*
Preferred First Name (if any)
Legal Middle Name
Legal Last Name
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Preferred Phone Number
*
Alternate Phone Number
Email
*
2. Language Preference/Cultural Considerations
Language Preference
*
English
Spanish
Are there any cultural considerations that you'd like our facilitators to be aware of?
Do you require interpretation services?
*
No
Yes
3. Case Information
Case Number (if filed)
Last 4 Digits of SSN
Full Name of Other Parent
*
Are you the petitioner or the respondent?
*
Petitioner
Respondent
Type of Case
*
Divorce
Custody
Visitation
4. Information About Your Children
***Currently, we are delivering the Kids’ Turn program online primarily to parents. We periodically offer online programs to children ages 9-17. If you are interested in your children attending an online series, please provide their information below. We will then notify you via email once an online children’s class is available. Thank you for your patience and understanding.***
How many children (age 5-17) will you bring to the workshop?
*
None
One
Two
Three
Four or more
Child #1 Name
Child #1 Age
Child #2 Name
Child #2 Age
Child #3 Name
Child #3 Age
Child #4 Name
Child #4 Age
If you are bringing more than four children, please enter the name and birth date of each child, one per line.
Do any of your children who are attending the workshop have special needs that we should be aware of?
*
No
Yes
Please tell us what those special needs are
5. Safety Concerns
Involving you and the other parent?
*
No
Yes
Involving the children and either parent or a third party?
*
No
Yes
Name of parent/third party identified in the no-contact order
6. Class Selection
***Please note that these classes will be conducted ONLINE through Zoom due to COVID-19 concerns. After you register, we will send you an email with the link to your online class. Thank you for your patience and understanding.***
Click here to check out the most current class schedule in a new window.
Please select
different
dates for your first and second choices. We cannot guarantee that your first choice is available, and not having a second choice will delay your registration.
First Choice for Date and Time
*
Thursdays, July 20- August 10, 6:30-8:00 pm, ONLINE through Zoom
***Please note that these classes will be conducted ONLINE through Zoom due to COVID-19 concerns. After you register, we will send you an email with the link to your online class. Thank you for your patience and understanding.***
Second Choice for Date and Time
*
Thursdays, July 20- August 10, 6:30-8:00 pm, ONLINE through Zoom
***Please note that these classes will be conducted ONLINE through Zoom due to COVID-19 concerns. After you register, we will send you an email with the link to your online class. Thank you for your patience and understanding.***
7. Kids' Turn Policies
The enrollment fee for Kids' Turn is $288.00 per adult. Any children in the family ages 5-17 are free with a paying adult. Registration cannot be processed until the enrollment fee is paid in full. The workshop is filled on a first-come, first-served basis until each workshop is full.
You must complete all four sessions in order to receive a certificate of completion. Arrivals more than 15 minutes past the start of class are considered an absence.
Not attending all four sessions in full means that you must re-register for another workshop and repay the $288 enrollment fee. There are no make-up sessions, and there are no exceptions.
Arriving late or leaving early from a session will be considered an absence
Children under 5 cannot participate in Kids' Turn.
Parents who bring children under 5 will be turned away from the session, and this will be considered an absence.
There are no fee refunds under any circumstances. If there are any circumstances that may prevent you from fulfilling this requirement or if you are uncertain if you are required to take Kids' Turn, please communicate directly to the court prior to registering for clarification.
Giving notice at least 14 days in advance will allow for a one-time only transfer of your registration to another workshop if register at that time. Subsequent re-registrations will require payment of the full enrollment fee again.
Giving notice less than 14 days in advance will require you to pay the full enrollment fee when you re-register.
You are not registered until you have received a confirmation letter. If you do not receive a confirmation letter within one week of form submission/payment or before the earliest workshop date I chose, Please contact Kids' Turn at 503-846-0665 (Monday-Thursday, 9 AM to 6 PM) to verify your registration. These confirmations sometimes get delivered to your spam folder. Please check your spam folder before contacting the office, and adjust your spam filters to allow future emails from us to be delivered directly to you.
Your confirmation email will come from kidsturn@youthcontact.org
Please initial to acknowledge that you have read and understood all statements above
*
8. Payment
To complete your registration, you
MUST
submit a payment.
***If you are paying with cash or money order, you must bring your payment to our office in person. Click either the yellow PayPal button to be directed to the PayPal site for payment, or using the drop-down menu enter your credit card information below. IMPORTANT: You do not need a PayPal account to pay with a credit/debit card. FORMS SUBMITTED WITHOUT PAYMENT CANNOT BE PROCESSED.
Payment Method
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Kids Turn Registration Total
*