Register

Registration Payment Form

First Name

Last Name

Phone

Start Date (must be at least two weeks from today)

Payment Amount

Battering Invervention & Prevention Program - $26

Supportive Outpatient Program - $52

Intensive Outpatient Program - $52

Hostility Management & Aggression Control - $26

Moral Reconation Therapy - $52

Life Skills - $52

Last 4 digits of card

Terms & Conditions:

By agreeing to these terms and conditions, you agree that payment amount includes a processing fee. The amount applied to your balance will be less.

If you paid $26, then $25 will be credited to your balance. If you paid $52, then $50 will be credited to your balance. This initial payment is a deposit only. It does not serve as payment for your first session.

This initial payment and online form is not confirmation of registration. You will receive a DocuSign registration packet shortly.

By agreeing to these terms and conditions, you confirm that you have given CATS of Texas your express consent to receive DocuSign envelopes and notifications via text message. You will receive a text message requesting your consent. You MUST confirm before your DocuSign registration packet is sent to you.

IF YOU DO NOT COMPLETE THIS DOCUSIGN REGISTRATION WITHIN 48 HOURS AFTER RECEIVING IT, YOU WILL BE EXITED FROM THE PROGRAM FOR NON-REGISTRATION.

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