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Free Custody Clinic Registration
  1. Participant’s Information
    Your Name:
    Address:
    City:
    State:
    Zip:
    Home Phone:
    Work Phone:
    E-mail:

  2. Select Clinic Dates and Time:
    Saturday, March 13 and 27 10 a.m.–12 p.m.
    Thursday, April 8 and 22 6–8 p.m.
    Saturday, May 8 and 22 10 a.m.–12 p.m.
    Thursday, June 10 and 24 6–8 p.m.

  3. How do you prefer that we contact you?
    E-mail:
    Home phone:
    Work phone:
    Regular mail:

  4. Have your child(ren) lived in D.C. for at least the last six months continously before today?
    Yes      No


  5. Are you represented by an attorney in your custody matter?
    Yes      No

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