The Mediation Center of the Coastal Empire

A 501c 3 Non-Profit Organization

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Children 1st Confidential Intake Form

Step One: Complete the Children 1st Confidential Intake Form

Please complete the following form. Make sure all required fields have an answer and click submit. Next, on the Children 1st page you will complete Step Two and pay for the class per the Order signed by the Judge. Once our team receives the intake form and payment, you will receive additional information to attend the class.


  • MM slash DD slash YYYY
  • Please enter a number from 1 to 10.
  • Please enter a number from 1 to 10.
    CHILDREN 1ST: HIGH CONFLICT PARENTING CLASS IS A CONFIDENTIAL COURT-ORDERED CLASS. EVERYTHING SAID IN THE CLASS IS CONFIDENTIAL AND CAN NOT BE USED IN COURT. THE INSTRUCTORS AND OTHER PARENTS IN THE CLASS ARE BOUND BY CONFIDENTIALITY AND CAN NOT BE SUBPOENAED TO COURT TO TESTIFY IN YOUR CASE. ANY INFORMATION PROVIDED TO THE MEDIATION CENTER STAFF AND/OR DIRECTORS OUTSIDE OF THE CLASSROOM IS NOT CONFIDENTIAL AND MAY BE USED AT A SHOW CAUSE HEARING IF A PARENT FAILS TO COMPLY WITH THE CLASS REQUIREMENTS.

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Quick Links

Request an Invoice to Pay Fee

The Mediation Center
5105 Paulsen Street, Suite 125D
Savannah, Georgia 31405
912-354-6686
info@mediationsavannah.com

Family Law Resource Center
912-354-6686
flrc@mediationsavannah.com

Youth Programs
912-999-2110
youth@mediationsavannah.com

Contact Us

The Mediation Center of the Coastal Empire
5105 Paulsen Street
Suite 125D
Savannah, GA 31405

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