Winter session begins Sunday, January 29th. The $35 registration payment covers 13 weeks. You may pay by check or cash (at the first meeting), request a scholarship, or pay online through this form before submitting. (If you have already submitted this form and just need to pay, CLICK HERE)

We want everyone to be able to attend and we understand that finances can be very tight during a divorce. For the registration fee you may pay a little each week, if needed, or if you need a sponsor, please check the scholarship box and we will find someone who will sponsor you to attend the sessions.


Name *
Name
Phone *
Phone
Address *
Address
Ex-Spouse's Name *
Ex-Spouse's Name
Marital Status *
Is there any concern with violence or any type of restraining order or restrictions we need to be aware of? *
Your Birthdate *
Your Birthdate
What was/is your anniversary? *
What was/is your anniversary?
Do you have children? *
Will you need childcare?
Do you currently have a church home? *
If yes, where?

We are here to help you face these challenges and move toward rebuilding your life. 
For additional information contact Wendy Clements.

TELEPHONE: 706-540-7259
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