Family Court Services - Parent Education Class Registration
Legal Name (as on a Legal Document)
If you use a different first name, enter it here:
Date of Birth / Gender
Date of Birth
District of Columbia
Ok to leave message at the phone number above?
List any other names you have used
Other: First Name
Other: Last Name
Language / Accommodations
Enter your Language if you have selected "Other" above.
Do you need an Interpreter? (no additional cost to you)
Any additional comments or special accommodations needed?
For statistical purposes only.
Annual Gross Income
Number of Dependents
Race - Other
Describe your Race if you have selected "Other" under Race.
Other Parent / Party in the Case
For our information only - this registration is for you only.
Date of Birth
Use mm/dd/yyyy. If you do not know the Date of Birth for the other party, type 01-01-1900.
If you do not know the other party's phone number, type in 555-555-5555.
Check all that apply to your family situation:
There has been a Family Abuse Prevention Act (FAPA) Restraining Order between you within the last year?
There has been a Criminal No-Contact Order between you within the last year?
There has been a Stalking Order between you within the last year?
I am concerned about your safety with the other parent in this case?
Fields to Send to Form 2 (Trims any mistake whitespace from front and back)
Trimmed First Name
Trimmed Last Name
Other Trimmed First Name
Other Trimmed Last Name