Your Full Name
Your Phone Number
Can you receive a text message?YesNo
E-mail Address
Case #
County case is filed in
Date you want to take the class (see schedule above)
If the Lewiston class, please select time.9:00-12:002:00-5:00
Do you have a fee waiver?YesNo
If yes, bring proof when you come to class.
Name of the other party
How many children are involved
Do you have an attorney?YesNo
If yes, who is your attorney?
Is there a civil protection order (CPOR)?YesNo