Enroll - ACT For The Children

Enroll and pay online.

Once you have submitted your form, please check your email, including your spam folder for confirmation and future emails.

Enrollment is closed 5 days before each class to allow for adequate processing time.

Classes are held Wednesday evenings and Saturday mornings.

The class fee is $100 and nonrefundable.

Enrollment Form

Full Name *
Street Address *
Apt, Suite, Bldg. (optional)
City *
State / Province / Region *
Postal / Zip Code *
Country *
Class Selection Request Separating parents cannot participate in the same session and registrations will be processed in the order they are received. Following this registration request you will receive a confirmation email or letter confirming which date you have been placed in. That letter will also include the class location. You are not enrolled until you receive this confirmation.
Phone *
Email *
Fax
Preferred Method of Receiving Information *
US Postal MailEmailFax
Name of Child(ren)'s Other Parent * *Class size is limited. Parents are enrolled in order that application is received. You cannot be placed in the same class as your child(ren)’s other parent.
Class Selection Request Separating parents cannot participate in the same session and registrations will be processed in the order they are received. Following this registration request you will receive a confirmation email or letter confirming which date you have been placed in. That letter will also include the class location. You are not enrolled until you receive this confirmation.
Wednesday Classes 4:00 pm – 8:30 pm January 22, 2025, March 19, 2025, May 21, 2025, July 23, 2025, September 17, 2025, & November 5, 2025
Saturday Classes 8:30 am – 1:00 pm November 16, 2024, February 1, 2025, April 5, 2025, June 14, 2025, August 16, 2025, October 18, 2025
Class Selection - First Choice * *Please choose the session you prefer to attend.
Class Selection - Second Choice * *Please choose an alternate session request in the event you cannot be placed in your first choice.
Are you currently in danger? *
If you are currently in danger, which includes your partner or ex-partner doing any of the following: (1) Physically hurting you by, for example, pushing, grabbing, slapping, hitting, choking or kicking? OR (2) Threatening to hurt you, your children or someone else close to you? OR (3) Stalking, checking up on you or following you? OR (4) Making you afraid? You can speak with an administrator about this if you are concerned you will not be able to take the class. Please select one of the two boxes below.Yes - Please contact me, I don't think I am safe to attend the class.No - I am comfortable attending the class.
If you answered yes to the question above, please list the safest way to contact you.
Is your case currently in court? *
If your case is currently in court, please complete the information below.YesNo
Are you being represented by legal aid? * *
YesNo
If yes, please provide the name of your legal aid attorney. If no, please put N/A. If you are being represented by legal aid, it is not necessary to complete the Scholarship Application for ACT.
Judge's Name
Family Court File Number
Supreme Court Index Number
Payment Instructions Class registration is $100. When you click submit below, you will be directed to a payment checkout page.

Verification

Please enter any two digits *Example: 12
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Click the below button to process your payment.

Payment

For Scholarship Applicants Only

When you click Submit, your enrollment form will be sent to the ACT Administrator. You do not need to complete the payment section for your registration to be received.

Enrollment Form

Verification

*For Scholarship Applicants Only*

When you click Submit, your enrollment form will be sent to the ACT Administrator. You do not need to complete the payment section for your registration to be received.

For Scholarship Applicants Only