Contact Details

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Court Ordered Visits in What City (required)

Court Case Number (required)

Case Names - Name vs Name? (required)

Age of Child 1
Click Here to SELECTInfant Age 0-1 YearToddler Age 2-3 yearsPre-School 4-5 YearsSchool Age 5-12 YearsAdolescent 13-18 YearsSpecial Needs up to 22 years

Age of Child 2
Click Here to SELECTInfant Age 0-1 YearToddler Age 2-3 yearsPre-School 4-5 YearsSchool Age 5-12 YearsAdolescent 13-18 YearsSpecial Needs up to 22 years

Age of Child 3
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Court Ordered Number of Hours per Week (required)

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