New Customer Registration Form

1

SELECT the Workshop Date you want to Register* This field is required.

October, 10/7/2026 at 07:00 PM - 09:00 PM

October, 10/17/2026 at 09:00 AM - 11:00 AM

November, 4/11/2026 at 07:00 PM - 09:00 PM

November, 21/11/2026 at 09:00 AM - 11:00 AM

2

Have you attended our Workshop before?* This field is required.

YESNO

3

Tell Us About Yourself* This field is required.

First Name

Last Name

4

Your Best Email* This field is required.

example@example.com

5

Mobile Phone* This field is required.

6

Do you have children under 18 years of age?* This field is required.

YESNO

7

Status of your case* This field is required.

I have NOT filed for divorce

I have ALREADY filed for divorce

My SPOUSE has filed for divorce

Child sharing & support issues only

Other

8

What’s your #1 single biggest question that you have related to divorce or child custody?

9

Terms and Conditions* This field is required.I understand the following regarding discussions with Attorney Jeff Stacer while at a Team Works workshop: 1. There is no financial charge to me for such discussions. 2. Such discussions are not private or protected by the attorney/client privilege, even if the group is small or I am the only one left. 3. The attorney is not my attorney and no attorney client relationship exists between the attorney and me unless I have retained the attorney in writing. 4. Such discussions are for general educational and information purposes only and should not be relied upon as legal advice specific to my needs.