Welcome to Animo Education & Counseling

Let's start with some basic information...

First Name

Valid first name is required.

Last Name

Valid last name is required.

Date Of Birth (MM/DD/YYYY)

Valid DOB is required.

Phone Number

Please enter number.

Address

Please enter your address.

City

City name required.

State

Please provide a valid state.

County

Please select a valid county.

Zip

Zip code required.

Race/Ethnicity

Please select a valid Race.

Language

Please select a valid language.

Gender

Please select a valid gender.

Please enter a valid email address.

Social Security Number *

SSN is required.

ID Number*

Valid number is required.

ID Types *

* Optional Fields.

Let's with program information...

What program are you looking for?

Please select a valid program

Select the date and time your program starts.

Please call at 817-274-3983 and let us know the schedule that you are looking for, we work very hard to help you find an option for you.

Name of the program you were asked to do?

field is required

Program Start Date

Class start date is required

Which location do you prefer?

Exactly, How many hours do you need to complete?

I agree with the selected program

Please check this box to continue.

About the incident

What was the offense?

This Field is required

Example: Driving While Intoxicated

City*

City name required.

State*

Please provide a valid state.

County*

Please select a valid county.

* City, State and County where you had the incident

Case or Cause Number

Who is asking you to do this program?

Please choose your option

Select an option from the list

Name

This field is required

Phone Number

Fax

State

Please provide a valid state.

County

Please select a valid county.

Emergency Contact

Contact Name

is required

Contact Phone Number Comments

Questions? We are here to help
(817) 274-3983

Step 1: Fill Out The Fields

STEP 1 of 4

Welcome to Animo Education & Counseling

Let's start with some basic information...

Let's with program information...

About the incident

Who is asking you to do this program?

Emergency Contact

We use best-in-class SSL encryption to ensure your sensitive information is kept safe and secure