The Mediation Center of the Coastal Empire

A 501c 3 Non-Profit Organization

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Guardian Ad Litem – Parent Questionnaire

Parent questionnaire when a Guardian Ad Litem has been appointed. Each Party/Parent will fill out the Questionnaire. The information requested applies to you - not the other parent.
  • For each place listed, include the address, dates you lived there and who lived with you and their relationship to you.
  • Include start and end date, how many hours you worked per week, name of your position and reason you left each job.
  • (specify type of training, place of training, certificates awarded, dates)
  • (please list each arrest, date of arrest, location and disposition)
  • (a) Date of Birth, (b) Address (c) Grade in School, (d) Name of School Attending, (e) Name of School Attended Last Year, (f) Child's Grade Average, (g) Child's extracurricular activities and interests.
  • Please give a detailed reason for this professional contact.
  • (a) Name (b) Phone Number (c) Address (d) Email Address (e) Occupation and (f) Relationship to your child.

  • Thank you for your honest answers!


    If you have any questions, please call The Mediation Center at  912-354-6686 or send an email to sav.familylawresource@gmail.com.

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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

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

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