Certificate Shipping Address

First Name *

Middle Name

Last Name *

Suffix

Gender *

Birth Date *

Street Address *

City *

State *

Zip *

Phone Number *

E-mail *

Confirm E-mail *

Class Selection *

Amount of Hours / Classes Ordered by the Court ***

Number Of Sessions
Ordering Today *

Completion Delivery: *

US Mail (5-7 business days) ($0.00)

3rd Day with eMail ($20.00)

2nd Day with eMail ($45.00)

Reason for Registering:**

To satisfy a Court or Legal Requirement

Educational or Personal Reason

Court Case Number / X Number **

Court Name or Probation Dept **

Court State **

Next Court Date **

Is there a victim named in this case?**

Yes

Collateral contact means obtaining information concerning a child, parent, or other person responsible for the child from a person who has knowledge of the family situation but was not directly involved in referring the child or family to the Department for services.

Driver License/ID # *

State Issued *

Create Password *

Confirm Password *

I have read and agree with the 'Terms of Use' and 'Privacy Policy'.

For court officials, probation officers, case managers registration click here

Court Ordered Classes is a registered member of Mental Health America (MHA) as an organization. view

Court Ordered Classes a Parole and Probation Department Approved Provider. view

Court Ordered Classes is an agency member of the California Consortium of Addiction Programs and Professionals (CCAAPP). view

Court Ordered Classes Member American Probation and Parole Association
Court Ordered Classes is a member of American Probation and Parole Association.

---------------------------------------------

Registration form for program participants

Certificate Shipping Address

For court officials, probation officers, case managers registration click here