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THE RESOLUTION SUITES
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Child Contact Service Self-Referral
Your details
Full Name
*
Email
*
Phone
*
Address
*
Gender
*
Relationship
*
Your current parenting role
*
Residential parent
Non-residential parent
Other
Do you require an interpreter?
*
Yes
No
Other Parent
Full Name
*
Email (if known)
Phone (if known)
Address (if known)
Gender
*
Relationship
*
Their current parenting role
*
Residential parent
Non-residential parent
Other
Do they require an interpreter?
*
Yes
No
Children's details
Child 1
Child's full name
*
Child's date of birth
*
Additional details
Child 2
Child's full name
Child's date of birth
Additional details
Are there more than two children?
Yes
No
If yes, please provide full names and date of birth of any additional children
Legal context
Are there any current Family Court or Children's Court Orders relating to this matter?
*
Yes
No
Proceedings are currently before the Court
If yes, please briefly describe the current orders or proceedings.
Submit
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