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Co-Parenting CARE program registration
Co-Parenting CARE program registration
amy
2025-08-05T09:19:46-05:00
Thank you for joining the Co-Parenting CARE program!
Complete the form below to create your login, get access to course materials and join our Facebook group.
Registration Information
Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
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Phone
(Required)
May I send a text to this number?
Yes
No
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(Required)
Eastern
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Mountain
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Terms of Service
(Required)
I Agree to the
Terms of Service
Payment Information
The CARE Program is $3,897. You can pay the full amount now or choose to be billed in 4 monthly installments of $975. The first payment will be collected today, with the remaining payments being billed each month on the same date.
CARE Program Enrollment
(Required)
4 Monthly Payments
Full Payment
* Pay the full $3,897 now, or pay in 4 monthly installments.
Your card will be billed $975 now, then 3 additional payments every 30 days.
Payment Method
Credit Card
PayPal
Credit Card
Cardholder Name
Card Details
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Supported Credit Cards: MasterCard, Visa
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