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

  2. Select Clinic Dates and Time:
    Thursday, June 13 and 20 6 p.m.–8 p.m.
    Thursday, July 11 and 18 6 p.m.–8 p.m.
    Thursday, September 5 and 19 6 p.m.–8 p.m.
    Saturday, October 12 and 26 10 a.m.–12 p.m.
    Thursday, November 7 and 21 6 p.m.–8 p.m.
    Saturday, December 7 and 21 10 a.m.–12 p.m.

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

  4. Have you and your spouse 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 divorce matter?
    Yes      No

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