VIRGINIA: IN THE CIRCUIT COURT OF THE CITY OF VIRGINIA BEACH _________________________________________________ v. Case No.: _________________ __________________________________________________ PARENT EDUCATION SEMINAR ORDER - Virginia Code § 20-103 The above-named parties, parents of a child whose custody, visitation or support is contested shall attend and complete a parent education seminar on the effects of separation or divorce on minor children, parenting responsibilities, options for conflict resolution, and financial responsibilities. Name of Provider [from List of Parent Education Providers on the Supreme Court’s web site at www.courts.state.va.us]: __________________________________________________________________________________________________ Phone No. of Provider: _________________________________ Fax No.: _________________________________ The parents shall attend the educational seminar within 21 days from the date of this Order and before any dispute resolution session unless an exemption from attendance has been granted. The fee charged a party for participation in such program shall be as provided in Virginia Code § 20-103. The fee is payable to the seminar provider. The clerk’s office of this court shall transmit, by facsimile, a copy of this order to counsel and to the abovenamed provider. ENTER: ______________________ ______________________________ JUDGE Signature of Counsel for Complainant ____________________________________ Printed name of counsel ____________________________ Fax Number ______________________________ Signature of Counsel for Defendant _____________________________________ Printed name of counsel ____________________________ Fax Number PROVIDER TO COMPLETE BELOW CERTIFICATE AND RETURN TO THIS COURT Parties appeared on __________________________. The following named party did not appear for the scheduled session: ___________________________________. I was not contacted within 21 days of this order to schedule a session. Date: Signature of Provider: ____________________________________________ Revision Date: 9/10/2008 American LegalNet, Inc. www.FormsWorkflow.com