Dyersburg State Community College Signup Form

* Membership Type

Dyersburg State English Parenting and Divorce Class $40.00 One time fee, certificate included. 4 Hour Parenting and Divorce Online Course, 1 months unlimited access
Dyersburg State Español Parenting and Divorce Class $40.00, único pago certificado incluido. 4 hour Español Parenting and Divorce Online Course, ilimitado acceso por 1 meses.

* Payment System

Pay with your Credit Card accepts all major credit cards PayPal Payments PayPal account not required. Use PayPal or Pay with Debit or Credit Card

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Address Information

* Street

* City

* Country

* State

* ZIP Code

County

Tennessee Filing County

* Daytime Phone Number

Just in case we need to talk to you regarding the program.

* Children in Household

Do you have any children age 11 or older in your household?

How did you hear about us?

Please tell us how you heard about us.

Terms & Conditions

I affirm that the person signing up for the class is the person who will take the online course and that I am not signing up for another person.

Yes, my browser is capable of playing audio and video. I understand a refund will not be issued due to issues with my device.

I understand a PDF viewer such as Adobe Acrobat is required to view my certificate, and that a functioning printer must be available to me in order to print my certificate.

I understand my enrollment details may be shared with the introducing College or University whose name appears on the course certificate.

* I have read and agree to the Terms & Conditions