Maap Registration/Payment – Orange County MAAP Registration Orange CountyParticipant Name * *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryParticipant Email *E news sign up By checking the box below, I agree to subscribe to DRC e-news which will be sent to email provided. I understand that I may unsubscribe at any time. DRC does not exchange, rent or sell its mailing list to any outside organization.Yes! I want to receive DRC e-news!Daytime Phone *Evening Phone/Cell *Court information: Family File #/Next Court Date (if applicable) Referral Source: MAAP Program Fee is $125.00First Choice Each class is a total of 12 hours and takes place over 4 evening sessions from 6:00 p.m. to 9:00 p.m.September 10th, 17th and 24th, 2020 and October 1st, 2020November 12th and 19th, 2020 and December 3rd and 10th, 2020Second Choice Each class is a total of 12 hours and takes place over 4 evening sessions from 6:00 p.m. to 9:00 p.m.September 10th, 17th and 24th, 2020 and October 1st, 2020November 12th and 19th, 2020 and December 3rd and 10th, 2020TERMS 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(D) $15 rescheduling fee will apply for each date change(E) 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. I certify that the credit card used for payment is in my name as Program Participant and I authorize payment to DRC as submitted through PayPal for this class. *Signature - type name in box Follow instructions below and submit VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
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