Membership Application

Any person who has interest in supporting families to raise healthy and happy children, preventing child abuse and neglect and helping abused and neglected children is qualified to become a member of this Corporation. In order to become a member, please fill out the application:

CAPCC General Membership Application
Name (and title):
Agency affiliation (if applicable):
Business or Home Address:
Phone (Work):
Phone (Home):
E-mail Address:
Please tell us about any special skills, interest and/or qualifications that you might want to share with the Child Abuse Prevention Coordinating Council such as presentations you have done, writings you have published, blogging, web design, etc.
Are you interested in finding more about serving on the board?

Applicants shall be admitted to membership upon filling out an application and submitting it.  Paper applications can be found here:

CAPCC Membership Application – printable.

The Corporation shall keep a database of the name and address of each member and other information as shall be determined by the Board of Directors. The database shall be kept at the Corporation’s principal office. The list shall be made available for inspection by any Director or member during regular business hours. The membership list shall not be used in whole or in part by any person for any purpose not reasonably related to the stated purpose of the organization.