Membership Information

Where do you reside? (Required)

Where is the case out of if different than where you reside? (Required)

Do you still see your child/ren? And if so, what are the visits like? Also, ages of the child or children? (Required)

What are the present custody orders? (Required)

When did you get divorced/separated? Was there alienation going on before this? (Required)

Are there any significant others like BF or GF? When did they come into the picture? (Required)

Do you have an attorney? (Required)

An emergency contact name. (Required)

Relationship to you (Required)

Emergency contact number (Required)

How did you hear about us?

If you would like to assist with your Local area Chapter of PASI, let us know.

If there is anything else you need us to know, please use the space below.

We strongly recommend that all member clients be in therapy with a trauma therapist who also has extensive education in coercive control and parental alienation.

IMPORTANT: We cannot approve any memberships without membership payment. If no payment if made within a week, the application will delete and you will have to start all over. This membership is required for us to assist you and give you access to our private closed groups internationally and locally as well as get notifications on webinars. It is dirt cheap at $50 once a year for parents/extended family and $100 for Professionals. With the membership, you have free access to our professionals list, resources, some events and legislative projects.

Go to the following webpage webpage to pick a plan: https://www.zeffy.com/en-US/ticketing/pasi-memberships

For additional intensive coaching, consulting and support, there are two options. One is live support at $100 an hour whether over the phone, zoom or in person on all cases. Or we have unlimited email support at $100 per month. This helps to pay for our employees time and resources.

LINKS:

Link to schedule one to one Consulting via Calendly

Unlimited Email Support

Expert Testimony

By responding to these questions, it is our way of getting your agreement to the privacy and confidentiality of the members past, present and future.

Signature - Type Your Full Name Here to Sign (Required)

Membership Information

Address

Contact Information

Membership Information