Self Enrollment Form

Self Enrollment Form
Dynamic Family Solutions (a program of The Price Dynamic) offers services to support families on their journey toward cooperative co-parenting. We work best with parents who are interested in developing their skills and behaviors to build a safe and effective co-parenting dynamic.

Complete the form below to begin the enrollment process for coaching and/or parent education.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please select the areas that apply to your family dynamic.

Open Child Support CaseDomestic Violence/ Restraining Or Harassment OrderChemical DependencyOpen Custody CaseNone Of The Above
Please select the programs or services you'd like to participate in.

One-on-one coaching, weekly or bi-weekly 30 minute virtual sessionsCo-Parent Education Class, court mandated 8 hour classSupport Group, monthly virtual or in-person group meetingsResource Navigation, consultation to align resources to help your family
Challenge For Change: We ask all Dynamic Family Solution clients to read and except our challenge for change which is an agreement to create new positive behaviors related to parenting.

Read & Sign the Family Unity Pledge
Family Unity Pledge for Positive and Safe Dynamics

As parents and caregivers, we recognize the profound influence we have on our children's lives. We understand the importance of fostering a family environment that is built on love, respect, and safety. With this commitment in mind, we pledge to change our behavior and actively work towards maintaining a positive and safe family dynamic for the well-being of our children. We acknowledge that our children deserve the best possible foundation for growth, and we are committed to modeling the behavior we hope to see in them. We pledge to:

Prioritize Love and Respect: We commit to treating each other and our children with love and respect. We understand that kindness and empathy are the cornerstones of a healthy family environment.

Open Communication: We will foster open and honest communication within our family. We will actively listen to our children's thoughts, feelings, and concerns, and we will encourage them to express themselves without fear of judgment.

Reject Abuse: We categorically reject all forms of abuse, including verbal, physical, and financial abuse. We understand that abusive behaviors are never acceptable, and we will actively seek alternative options to resolve conflicts.

Seek Support: We acknowledge that parenting can be challenging, and we are willing to seek support when needed. We will reach out to friends, family, or professionals to help us navigate difficult situations and conflicts in a healthy way.

Model Positive Behavior: We recognize that our children learn by example, and we will model the behavior we hope to see in them. We will strive to be role models of kindness, patience, and problem-solving.

Create a Safe Haven: Our home will be a sanctuary where our children feel safe, both physically and emotionally. We will protect their well-being and ensure that they have a safe space to grow and thrive.

Continuous Growth: We are committed to personal growth and self-improvement as parents. We will continuously educate ourselves and learn from our mistakes to provide the best possible environment for our children.

By taking this pledge, we commit to nurturing a family dynamic that supports the growth and development of our children in a safe, loving, and respectful environment. We understand that the journey may be challenging at times, but we are dedicated to this path for the benefit of our children and the future of our family.
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Self Enrollment Form

Dynamic Family Solutions (a program of The Price Dynamic) offers services to support families on their journey toward cooperative co-parenting. We work best with parents who are interested in developing their skills and behaviors to build a safe and effective co-parenting dynamic.

Challenge For Change: We ask all Dynamic Family Solution clients to read and except our challenge for change which is an agreement to create new positive behaviors related to parenting.