Instructor Training Registration or Information Request
(without payment)

Full fee for this training must be paid 2 weeks before training
One of our trainers will contact you to answer all of your questions

 INSTRUCTOR TRAINING REGISTRATION/INFORMATION FORM
Your Name:  
 2nd Trainee:  Included in fee
2nd Trainee: If you are going to be attending as a team with a second person, please provide that person's name. Course fee is the same for one or two.  
 
E-mail Address:  
E-mail Address: This must be a working e-mail address that you will check during the time leading up to and after the course. Trainers will use this address as the primary way of communicating with you and supporting you after you have completed your training.
Contact Phone Number:  
Mailing Address 1:  
Mailing Address 2:  
City, State, Zip Code:  ,

Contact us by email at for.parents@juno.com
Contact us by phone at (888) 747-5362
Copyright 2002, 2010 Positive Divorce Resolution, Inc.
Last edited November 23, 2010 by Robert J. Perchalski, Ph.D.