The Institute For Co-Parenting Resolution (CPR) Training And Education Courses
Tuition and Materials for the 5 hour and 8 hour Course
Please check your desired Course
_____ 5 hour Course (for Parents who have no contested custody or parenting-time issues)
             Fee for the Course: $84.00, which includes Shipping and Handling, plus $5.25 Georgia
             Sales Tax for Georgia Residents Only.
             Course Materials:
             Five CDs ( 2 on Psychological Issues, 2 on Legal and Co-Parenting Issues,
             and 1 CD on The Kerman Co-Parenting Plan in Word and WordPerfect formats) 
             CPR Training Manual
             Evaluation Form
             CPR Exam
             Certificate of Completion

_____ 8 hour Course (for Parents who have contested custody or parenting-time issues)
             Fee for the Course: $109.00 ,which includes Shipping and Handling, plus $5.25
             Georgia Sales Tax for Georgia Residents Only.
             Course Materials and Three Hour Class:     
             Five CDs (2 on Psychological Issues, 2 on Legal and Co-Parenting Issues,
             and 1 CD on The Kerman Co-Parenting Plan in Word and WordPerfect formats)
             CPR Training Manual
             Evaluation Form
             CPR Exam
             Certificate of Completion
             Three Hour Live Class is held on Saturdays from 10:00 a.m. to 1:00 p.m. and is limited
              to 50 participants.  The next class will be held at 10:00 a.m. to 1:00 p.m. on Saturday,
              March 6, 2010, at the Gainesville Civic Center, 830 Green Street, N.E., Gainesville,
              Georgia 30501 in the Gaines Room.  Please check this website for information on
              future classes, availability, dates, and locations. 

TUITION FOR CO-PARENTING FACILITATORS (Attorneys, Mediators, Mental Health Professionals, and Spiritual Leaders):
___  $245.00
REFERENCE MATERIALS FOR CO-PARENTING FACILITATORS:
     Five CDs (2 CDs on Psychological Issues, 2 CDs on Legal and Co-Parenting Issues
     and 1 CD on The Kerman Co-Parenting Plan in Word and WordPerfect formats)
     CPR Training Manual
     Supplemental Manual with Forms
     Evaluation Form
     90 minute live Teleseminar
     Certificate of Completion
     Continuing Education Credits: 6.5 CLE (Attorneys in Georgia); 
     6.5 CE (Registered Mediators in Georgia); 6.5 CE (Licensed Clinical Social Workers
     in Georgia)  


Name of Registrant: ________________________________________________________________
Address: _________________________________________________________________________
City, State, & Zip Code: ______________________________________________________________
Date of Birth: _________ Phone Number: ___________________________
Cell Number: _________________________  Fax Number:   ___________________
Email Address: ________________________________________________________________
If Parent: Relationship to Child(ren):
____________________________________________________________________________
If Professional (Attorney, Mediator, Mental Health Professional, Spiritual Leader, Paralegal):
Designation and License Number: __________________________________________________
Payment Information:  ____ Visa   _____ MC     _____ AMX
Card Number: ___________________________________ 
Name on Card:  _________________________________________________
Three or Four Digit Number on Card: _________________________________
Exp. Date:  _________________   Amount charged: _____________________
Signature: ___________________________________________________________________
_____  Check enclosed payable to The Institute For Co-Parenting Resolution
_____  Register by:  Telephone:  (770) 534-5262  or  Fax:  (770) 642-1104
_____  Mail Checks to: The Institute For Co-Parenting Resolution, 8725 Roswell Road,
             Suite O-210, Sandy Springs, Georgia 30350