REGISTRATION FORM
Pre-registration is required
To register online:   Check the session you want to attend and then complete the registration form
To register by mail:   Click HERE to open a registration form that you can print out
To register by phone:   Call 508-366-7557
Payment information will be sent with your registration confirmation

Please select the dates you would like to attend.
You may wish to make an alternate selection as sessions fill quickly and dates are subject to change.
November 20 - 21 (Thursday & Friday morning) 9 am - 11:30 am Fee:  $80
December 18 - 19 (Thursday & Friday morning) 9 am - 11:30 am Fee:  $80
January 29 - 30 (Thursday & Friday morning) 9 am - 11:30 am Fee:  $80
February 26 - 27 (Thursday & Friday morning) 9 am - 11:30 am Fee:  $80
March 26 - 27 (Thursday & Friday morning) 9 am - 11:30 am Fee:  $80

If you selected more than one session, we will assume that the earliest date is your preference.
If that is not the case, please indicate your first choice of dates.
Please complete the registration form.
Click on Register Now! at the bottom when you are finished.

First name:
Last name:
Street address:

City: State: Zip:
Email address:
Home phone:
Work phone: 
Cell phone: 

 
Please provide the following additional information:
Ex-spouse full name:
Docket number (if known):
Referred by:
Probate Court:
Attorney or Mediator:
Is there a Restraining Order? Yes   No
Special Needs or Requests:

 
Please select the payment method you will use:
If you are paying in advance, please send payment to:
  Sylvia Sirignano, Ph.D.
Parenting Solutions
6 Colonial Drive  Suite 2
Westborough, MA  01581		  
How would you like to receive confirmation of your registration?
Feel free to provide any additional information.
Please go Back to the Top and review all information prior to submitting your registration.
If you are ready to register
please print this page for your records.


When you are ready, click below to send us the registration form.
Please be patient, your registration may take a few moments to process.