Sign Up Now Anger Management Registration Step 0ne REGISTRATION FORM STEP ONE (NOTE: REGISTRATION IS NOT COMPLETE WITHOUT PAYMENT) Choose Your Program: 8 Individual Classes (Phone - Flexible Scheduling) 299.00 (Save $21)Pay Per Week - 40.00 today and 40.00 for the next 7 weeks)Not sure - I will call Linda Chapman to discussI need a different program length How would you like to pay today? (You can change your mind later) CashAppVenmoZelleDebit/Credit CardI use cash only Your name as you want it printed on your certificate Your email Phone Date of Birth: Occupation: Why are you seeking anger management? (Check all that apply) Self ImprovementImprove partner relationshipParentingWork issuesCourt case pendingAttorney suggestedDHS involvementDivorceChild custody or visitationProbationI get blackout angry and do things I don't recallI am sometimes verbally abusiveI become physically aggressiveI only lose control when under the influence of alcohol or drugsOthers say I have an anger issue but I disagreeOther - Explain in Comments section below Enter your complete shipping address including zip code, suite, apartment or unit (For class materials) How do you prefer to be contacted to schedule? PhoneEmailTextAny of these Comments for Linda Chapman? (Optional) I am age 18 or older. I understand that purchases are non-refundable and that cancellation and rescheduling require 24 hours advance notice to avoid being charged.