Pre-Registration Form

May we help you mediate parenting time?

Divorce Reality Group

Since 1983
Call (734) 668-2001
eMail

Southeast Michigan

How about a business perspective on property settlements instead?

Dispassionate. Fair. Experienced.

Divorce Reality Group

Since 1983
Call (734) 668-2001
eMail

Southeast Michigan

For Use with Stand-Alone 2½-Hour Presentations

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." This form may be used for any of our stand alone, 2½-hour seminars (other programs have specific forms).

Advanced pre-registration for each seminar is $<TBD>/person; $<TBD>/person at the door (space permitting). Includes program and materials. Please use a separate, completed form for each seminar. Thank you!

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?

Title of Divorce Realty Seminar you are interested in attending

Date of Divorce Reality Seminar 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.

Link to Contact
Information

Dell Deaton

Divorce Mediator
Workshop Leader
Life Coach

135 E. Bennett #29
Saline, MI 48176

eMail Dell

734.668.2001

Divorce Reality Group
Washtenaw County
Michigan

We help clients

Take control
Make preparations
Keep focus

Michigan

Divorce Reality Group

Since 1983
Call (734) 668-2001
eMail

Link to Divorce Reality Seminar information

Dell Deaton is a Domestic Relations Mediator, Life Transition Coach and Workshops Leader, in professional practice through Divorce Reality Group — based in Ann Arbor and Saline, Michigan (Washtenaw County).

(734) 668-2001 . 135 East Bennett Street, Suite 29, Saline, Michigan 48176 . eMail

Divorce Reality Group

vIV-024 (Monday, March 24, 2008 08:48:24 AM)