AFFIDAVIT CONFIRMING REGISTRATION AT PARENT EDUCATION PROGRAM First Name M.I Last Name Docket No. Commonwealth of Massachusetts The Trial Court Probate and Family Court ,Plaintiff/ Petitioner Division v. ,Defendant/ Petitioner First Name M.I Last Name In the matter of (Names of Parties) for (Description of Complaint) . 1. In compliance with paragraph #10 of Standing Order 2-16, I confirm the following: First Name M.I. Last Name (Name of Program) is currently registered to attend a Parent Education Program provided by which is a Parent Education Program approved by the Chief Justice of the Probate and Family Court. 2. The above-named Parent Education Program will be completed prior to the Pre-Trial Conference. Trial. SIGNED UNDER THE PENALTIES OF PERJURY I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief. Date: Signature of Party Information on Attorney for Party, if any Signature of Attorney (Print name) (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) Primary Phone #: B.B.O. # Email: American LegalNet, Inc. www.FormsWorkFlow.com CJD 51 (5/1/16) AFFPE