Workshop Registration

Please register me for: (circle the date of the workshop you wish to attend):

F.A.M.I.L.Y. Rules                                         October 4, 2008                  

Therapeutic Supervised Visitation                    October 11, 2008

Divorce Sanity / Parallel Parenting                   October 18, 2008 

Communication Without Casualties                  October 25, 2008                             

                                            Name(s)                                                                                                       Home Phone

                                     Mailing Address                                                                                                 Work Phone

                                   City, State, Zip  

            ***************************************************************

                    Print, then complete this form and mail to:

            CCD Counseling P.A. / 1512 Scripture / Denton, TX 76201

               Registration must be received seven days prior to the workshop.

               The workshops are free, but registration is still required, as space is limited.