MAAP Virtual Registration Form MAAP Virtual Class Registration Form Name* First Last Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Email* Enter Email Confirm Email Referral Source* Judge – specify below Self – Referred Attorney Other If Court-referred, please enter the name of the judge, the courthouse, and the Family File or Docket #. All three items are required if court-referred. MAAP Virtual Class Quantity* Price: $100.00 Quantity Program fee is non-refundable.Total $0.00 Select Dates*November TBD, 2024All classes are held from 6:00pm – 8:00pm.E-news sign up Yes! I want to receive DRC e-news! By checking the box above, I agree to subscribe to DRC e-news which will be sent to my email address above. I understand that I may choose to unsubscribe at any time. DRC does not exchange, rent or sell its mailing list to any outside organization.TERMS OF REGISTRATION: (A) an email will be sent to address provided with registration confirmation and instructions for attending class; (B) No reminders provided prior to class start date; (C) Notification required 48 hrs prior to date of first class if unable to attend; $15 rescheduling fee will apply for each date change; (D) Failure to attend scheduled class forfeits any money paid.* I have read, understand and agree to above terms by typing my name in signature box below. Signature – Type name in box* CAPTCHA
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