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 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?*

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*

***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*

***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

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Kids Turn Registration Total*

REGISTER FOR KIDS’ TURN

1. Contact Information

2. Language Preference/Cultural Considerations

3. Case Information

4. Information About Your Children

5. Safety Concerns

6. Class Selection

7. Kids' Turn Policies

8. Payment

To complete your registration, you MUST submit a payment.

REGISTER FOR
KIDS’ TURN