!st Visit Form

1st Visit Form ... Welcome!
Custodian
Custodial Parent/Guardian + Children *
Names + Ages of your Children *
Client
Name *
Cell Phone Number *
Email *

Address *




	Country

Court
Case Number
Judge *
County
Your Attorney's Name
Your Attorney's Telephone
Your Attorney's Email
Opposing Attorney's Name
Opposing Attorney's Telephone
Opposing Attorney's Email
Public Defender Name
Is There a Restraining Order?

Yes No
If Yes, Against Whom?

Mother Father Mutual
Visit
Visitation Time *
Payment Responsibility *
Are Third Parties Permissible? *

Yes No
If yes, Who?
Visitation Location(s)

Home Community Both
Should be Empty: