Thank
you for taking an active interest in CPN. This organization will bring a
new future for the DISAbled and others because of members like you. Please
be sure to tell us your thoughts and ideas that you would like to see to
make this site happen. Here at CPN your thoughts do matter.
We want
this site to be a part of all of us. As a member you will also be included
in our email loop, CPN's Online Support Loop located at Yahoo! Groups once
you have submitting your form we will add you to the loop.
Also tell us if you are interested in being a active member whom may have
a talent that would be helpful to CPN. All information is held in
confidence.
To start
your membership fill out the form below a *
beside a field indicates this is required information.
*Your
E-Mail :
Please
type your email again to ensure we have correct
addy example email is youremail@youremail.com.
Without
an email you will not be added as a member.
If you do not wish to use your primary email you
are welcome to use an email account such as
hotmail as long as it is valid.
*Confirm
Your E-Mail:
Your
Street:
Your
City:
*Your
State:
*Your
Country:
Your
Zip Code:
Your
Home Page URL:
Your
Page Title:
Your
ICQ # or AOL IM name:
Do
you have another chat relay program? :
Would
you like to receive the email loop in individual or
digest form? :
Relationship
to CP
Where
did you learn about this site?
*May
we post your Name,Location,Email,URL, ICQ and Child's
name on our members page? Our member directory is with
in a private directory for members only.
Please
fill this section in telling us about your family and
your child (or self, if your an adult with CP) l, this
will be your introduction letter to the email loop and
posted on the members directory as a get to know you and
parent/adult matching reference.
.
Please
fill this section in telling us what procedures,
therapies, surgeries or concerns you may have. This will
help us introduce you to others in your similar
situation.
We
love birthdays here at CPN and have a birthday club. We
would love to be able to celebrate yours please list your
(whole) families names & birthdays.
Would
you like to volunteer your time to CPN?
(CPN
wouldn't be were it is today without the tremendous help of
its members) :