Pre-Registration Form

May we help you mediate parenting time?

Divorce Reality Group

Since 1983
Call (734) 668-2001
eMail

Southeast Michigan

We help clients

Take control
Make preparations
Keep focus

Michigan

Divorce Reality Group

Since 1983
Call (734) 668-2001
eMail

A Comprehensive Divorce Recovery Workshop:
Just One Day

You may print out this form, fill in the information requested and mail it along with your payment (by check, please) to "Divorce Reality Group." Our current schedule: Next dates not yet scheduled. Advanced pre-registration for this complete Divorce Reality 2 workshop is $<TBD>/person; $<TBD>/person at the door (space permitting). Includes program and materials.

Please print clearly

Name

Complete mailing address

Home telephone (may we leave a message for you on this line?

eMail address (can anyone access this except you?)

Male or female? what is your age?

Filed for divorce? if "yes," date?

Is your divorce final? if "yes," date Judgment entered?

Have you participated in divorce programs before? if yes, please note

How did you hear about this workshop?

Date of Divorce Reality Day you are interested in attending

Amount enclosed

Childcare not provided

We cannot provide childcare (please do not bring children to workshops).

Key rules and understanding

"Groups" without rules become playgrounds for chaos, opportunities for wolves in sheep's clothing. So, among other things, all of our participants agree:

To respect the person and privacy of all others in every group.
To refrain from involving others from these groups in your legal affairs (for example, don't ask fellow participants to testify in litigation or put their names on your witness lists).
To understand that your continued participation in the group is at the sole discretion of Divorce Reality Group management.

Disclaimer

We reserve the right to deny attendance to any person who, in our sole judgment, is not conducive group dynamics we need to best serve our clients (this has only happened twice — but I've found that it's very important to the ongoing confidence of those who continue to be invested in the group to know that I am absolutely serious here). If we do not accommodate your request to attend, any payment received will be refunded. No individual will be denied attendance based on race, sex, color, religion, creed, national origin or ancestry, age, marital status, sexual orientation, disability, or Vietnam-era status. Also see general terms of use (including privacy statements), which apply to all programs and other aspects of Divorce Reality Group work.