Event Registration

- 06/10/2026

After completing this form, you will have the option to pay by credit card (online) or check.
The online registration deadline for this event is 06/10/2026 .

Contact Information

First Name*

Last Name*

Address*:

City*:

State*:

Zip*:

Phone*:

Email*:

Comments:

Other Items

	$0.00
Additional Donation		$

To help us avoid spam, please type 123 in this box:

© 2014 The Child Abuse Prevention Center • 4700 Roseville Road, North Highlands, CA 95660 • Phone 1-800-CHILDREN (Non-emergencies only)