High Conflict Diversion Program Class Form
Tuesday Classes - Online & In-person
Parents - please complete this intake form prior to taking the High Conflict Divorce Program parenting class. All fields are required.
Please make sure you have selected your state from the drop-down.
Please use the text area to briefly describe the issues that are part of the conflict between you and the other parent.
Please select the number from the drop-down that indicates how many times have you been to Family Court Services or Family Court in the last 2 years.
Please describe your current child sharing arrangement or court order for child sharing.
Please let us know if there is anything else you would like us to know,
Please describe what you would like to learn from this program.
The High Conflict Diversion Program™ is solely for informational and educational purposes and should not be construed as professional advice. It is not intended to be a substitute for family counseling, psychotherapy or legal advice. Brook D. Olsen or the instructors of The High Conflict Diversion Program L.L.C. are not or not acting in the capacity as licensed physician, therapist or attorney. Brook D. Olsen nor the instructors of The High Conflict Diversion Program L.L.C. are not acting as your physician, therapist or legal counsel. Brook D. Olsen and the instructors of The High Conflict Diversion Program L.L.C. are solely acting as an educator and facilitator. A physician/patient or attorney/client relationship will not be established between you and Brook D. Olsen or any of the instructors of The High Conflict Diversion Program L.L.C..
Personal information will be discussed and disclosed during these classes and that information is strictly confidential. No portion of such confidential information shall be disclosed to any third party for any reason without the advance written consent of Brook D. Olsen.
In addition, any and all text and information whether written or oral is a special, valuable and unique asset of Brook D. Olsen. You agree that you will keep in confidence all such confidential information, that you will not directly or indirectly disclose it to any third party, that you will not use it for your own benefit nor use any confidential information you receive from Brook D. Olsen or The High Conflict Diversion Program L.L.C.. The works of authorship, including, but not limited to, all text, design, and images, are owned, except as otherwise expressly stated, by Brook D. Olsen and The High Conflict Diversion Program L.L.C, and may not be copied, reproduced, transmitted, displayed, performed, distributed, sold, sublicensed, altered, stored for subsequent use or otherwise used in whole or in part in any manner without the prior written consent of Brook D. Olsen, as provided under the Copyright Act of 1976 (17 U.S.C. §107), as amended.
By clicking I Agree, you agree to these terms.