CAPRA Registration Form

WELCOME TO THE REGISTRATION PROCESS FOR JOINING CAPRA (Constitutional Association of Parental Rights Advocates)

In order to join and participate, you must: (1) be an adult eighteen years or older, and also be a current and permanent resident and citizen of the United States; (2) have your own internet access and generally be active with various online social networks; (3) be a natural/biological parent of one or more child/ren also resident within the United States; and (4) either still currently and/or anytime on or after July 22, 2011 - be a victim of wrongdoing by a "family court" of any of the 50 States or Commonwealths regarding the custody and care of the child/ren referred to in #3 above, i.e., be one of the many millions of unconstitutionally violated biological/natural parents from either the [custody, support, visitation] and/or the [child protective services] "family court" systems.

PLEASE READ AND ANSWER ALL QUESTIONS CAREFULLY

IMPORTANT: A hyperlinked item has been provided below for your reference in answering a particular question. That link - on this form, itself - is a "pop-up" link, which will cause a new browser window to open to the linked material, so you will not accidentally leave THIS page and lose all of your form data entered in so far. In any event, please still do be careful, as there is no need to rush...

SURPRISE/POP QUIZ: According to the color-coded USA map just above, which is YOUR residential Region?: *

Region 1 - Pacific Region 2 - Northwest Region 3 - Southwest Region 4 - Midwest Region 5 - Southeast Region 6 - Mid-Atlantic Region 7 - New England

ENTER A VALID RECRUITMENT CODE BELOW

You most likely learned of this class action communications army by a family rights advocate that has already joined CAPRA and therefore urged you to use his/her Code for the recruitment credit purposes. This is where you enter that exact Code. It is your own responsibility to enter a correct and valid code, so double-check as needed. If you don't have another's Code to enter (for example, you only saw a Facebook "share" link but no referral Code was included), you may use the generic Code of 00000AZ123 to enter and join CAPRA. If you were provided a Code to use, please use that Code to give that person credit, and only use the generic Code above as a last resort.

NOTE: Again, you *must* enter a valid and correct recruitment Code below, or this entire form will be auto-deleted by computerized processing of registrations, you will not successfully join CAPRA, nor be able to validly participate, and etc. By all means, reminding again, be absolutely sure of the Code you carefully enter below, whether that is someone else's Code (highly preferred, the same as you want others to likewise credit you...) or the generic Code just above.

Enter the recruitment Code another leader asked you to use, or the generic Code: *

BASIC CONTACT INFORMATION is obviously required, will ONLY be shared with your actual geographically-related leadership, and sporadically may be used by us to simply provide any important event updates to you, as may from time to time be applicable. We will NEVER use your email to solicit any money, ever (indeed, we want to pay YOU greatly, instead, remember?), and we will likewise NEVER sell, trade or otherwise divulge your personal contact information for any reason, whatsoever.

You must enter your real name in the next line, which is for internal use only, like private sharings with your geographically-related leadership, and the name to be used for future payment purposes (the name used to pay you...). However, when doing your own online recruiting of others into the communications army, you may just continue to use whatever name/handle that you normally do online, because your recruitment Code is the only thing you need to share with others out there.

First and Last Name (Must be your real name for rewards payments processing, so no "handles" or nicknames; This will be kept private for internal use only): *

Best email address (Again, this will be kept private for only internal req'd use): *

Best contact phone (This is optional, but greatly preferred, especially for State or any higher leaders -- Again, kept private for only internal use, and only if needed):

10 digits (area code + phone number), no dashes or other punctuation

Click to confirm: *

I am a U.S. citizen adult, age 18 years or older.

For the next question please use Column "B" ("LOCAL Name") in this pop-up spreadsheet link to find and enter your local residential Census unit name, exactly as listed by the U.S. Census Bureau there, i.e., including the word(s) "County", or "Borough", or "Parish", or etc., or including the word "City" if that is actually the local Census unit for you. For example, if you live in "Lincoln County" then enter that same, full name as "Lincoln County" (i.e., no quotes, and not just "Lincoln" only). Your answer must match the full LOCAL Name, exactly as per the Census Bureau, as these registration forms will be processed by unforgiving computers...

The full name of your *residence* County or other Locality, as detailed just above: *

Your residence State or Commonwealth: *

Which of the two main "family court" systems victimized you and your child/ren, and so is also your qualifying court case type?: *

The custody/support/visitation system (divorce-and-similar-w-kids) (I was unconstitutionally reclassified as a so-called "noncustodial" parent, without ever being first found guilty by due process of any serious parental unfitness, and those "family court" case issues are active now or were within anytime on or after July 22, 2011) The child protective services system (CPS, DSS, DCF, etc.) (I was wrongfully attacked by gov't social workers using false and/or unworthy allegations of parental unfitness to remove my child/ren from me/us without valid cause, and those "family court" case issues are active now or were within anytime on or after July 22, 2011) Both of the above two court systems (I qualify under both of the above descriptions, at different times in different cases, obviously..., and at least one of those sets of "family court" case issues is either still active now currently or was still last active sometime within anytime on or after July 22, 2011) All others - STOP NOW, as you are *not* eligible to join CAPRA. Sorry! (But, you may still get involved: Join your matching geographical support forums!)

VERY IMPORTANT: The following two entry boxes are for the CHILD CUSTODY case number(s) of your own family court case(s) where your CHILD CUSTODY was wrongfully affected in violation of due process. You *must* enter at least one valid child custody case number to be qualified, and you *may* enter two valid case numbers if applicable to you. THIS/THESE CASE NUMBER(S) WILL BE THE ACTUAL LEGAL BASIS FOR YOUR ORDERED RELIEF FROM THE FEDERAL COURT, i.e., YOUR LEGAL RELIEF WILL BE DIRECTLY KEYED, WITHIN THE FEDERAL COURT ORDER, TO AND REGARDING THE CASE NUMBER(S) YOU PROVIDE BELOW, SO BE ABSOLUTELY CORRECT IN THE FULL CASE NUMBER(S) YOU ENTER.

For example, many parental rights victims were denied their child custody due process rights within just one single court case that either has or dragged on for years, whereas other parental rights victims have suffered under multiple jurisdictions, perhaps due to relocation of another parent and/or other reason for transfer of jurisdiction and change of case numbers (like simply changing from one judge/court to another judge/court). Or, you might actually be one of those rarer parents that were victimized over your child custody rights in more than one family court case.

These entry boxes just below is/are for your state family court case number(s) only. They are NOT for federal case numbers if you later sued or whatever, they are NOT for state appeal case numbers, or anything else. These are ONLY for the state/county "family court" case numbers, where your CHILD CUSTODY rights were wrongfully affected by the one (or more) state/county "family court" judges and/or magistrates and/or whatever other "family court" officer violated your CHILD CUSTODY rights.

So, if you have had only one family court case number applicable to yourself, then enter that case number into the first box below, WITHOUT using any dashes, colons or any other punctuation characters, and WITHOUT leaving any spaces in it. For example, if your child custody case number is "32P02-0310-DR-123" then you would just enter "32P020310DR123" (without any dashes or spaces) into the first box below. If you have suffered under more than one qualifying family court case, then enter what you believe to be the PRIMARY one in the first box below, and then enter what you believe is your second most important family court case number in the second box below (most likely your newest/current/last child custody rights case, if jurisdiction and case numbers changed, or if you have actually had more than one different child custody case) - again, without using any punctuation characters or any spaces. Make sure you enter the FULL case number(s), not just partial case number(s)...

Enter the first or only CHILD CUSTODY case number here: *

Do NOT use any dashes or spaces.

In the next box, simply enter the regular full name of that actual family court, regarding your (first or only) child custody case number above. For example, it might be "Johnson County Superior Court 5" or "Brown County Circuit Court" or "Lincoln County Juvenile Court 2" or the "Franklin County District Court 3, Family Division" or "De Soto Parish Family Court" or whatever its regular full name is. If unsure, simply refer to the top of the first or cover page from an official legal document within that case, and find the actual court name itself.

NAME of court for first or only child custody case above: *

You may use a comma, as needed.

For the above first or only child custody case number and court name entered, which State or Commonwealth is/was that in: *

As mentioned above, this next SECOND set of case number, court name, and which State entry boxes are *optional* if applicable - they are not required.

Enter any second CHILD CUSTODY case number here (optional if applicable):

Do NOT use any dashes or spaces.

NAME of court for second child custody case (optional if applicable):

You may use a comma, as needed.

For any second child custody case and court name above, which State or Commonwealth is/was that in (optional if applicable):

Current residential State/Commonwealth versus family court case(s):

Do you now live within the same State or Commonwealth as where your child custody court case issues are/were being held?: *

Yes - It is/was the same State or Commonwealth where I live now (or, I have multiple qualifying court cases in this same State or Commonwealth). No - It is/was a different State or Commonwealth from where I live now (or, I have multiple qualifying cases, all from other States or Commonwealths). Both - I have multiple qualfying family court cases, including at least one in my residential State or Commonwealth, and at least one more in any different State or Commonwealth. All others - STOP NOW, as you are *not* eligible to join CAPRA. Sorry! (But, you may still get involved: Join your matching geographical support forums!)

The following checkbox is required for the purposes of the class action lawsuit, to provide legally-binding assurance to the federal court itself that each and every Member of CAPRA has duly sworn under penalty of perjury to confirm their own legal standing, i.e., that each and every Member is a valid class plaintiff properly qualified in this class action court case, and fully and legally entitled to receive all proper federal court relief.

Click to confirm: *

Pursuant to 28 USC 1746, I declare, certify and verify under penalty of perjury that the foregoing statements are true and correct, that I am a direct biological/natural parent of the child/ren in question above, also that I am executing this declaration upon the date and time of this form being submitted, and that my first and last name, entered above, constitutes my electronically-provided legal signature for this declaration.

CREATE YOUR PERSONAL REFERRAL CODE - This is the Code that OTHERS will use to credit YOU with bonuses for recruiting them on board. This is NOT the same Code that you entered above. You will create your OWN new 10 character Code here, consisting of three parts: (1) the five-digit Zip Code for your residence, only the regular five digits, not the "plus 4" digits..., followed by (2) the two initials for your first and last name, followed by (3) your own choice of any three-digit number from 100-998 except using the same digit all three times, i.e., you just can't use "111" or "222" or "333" or etc.

Whatever that new Code should be for YOU, please now create and enter that 10 character Code in the next text box. Your new Code will be in the format like "#####XX###" in the box below (your Zip Code's five digits + your own two initials + your choice of three-digit number as above). Then, of course, ask everyone to use your Code (this new Code you are creating) when they are signing up, so that you will get all those individual recruitment bonuses credited to you. This recruitment Code is also your leadership Code, as they are both the very same thing.

GENERAL NOTE TO ALL - These Codes will also be used as defacto "leader ID numbers" and so forth, for extra security and verifications within the later processes to double and triple check proper payments to correct persons, possibly for any needed internal cross-referencing, or whatever else is helpful to keep all things straight and true and "unique" per each of the leaders (Members) on board nationwide, such as counting unique votings by each Member within the different media contests.

Make sure that your newly-created Code just below is exactly TEN digits/characters in the proper format as instructed above.

As just explained above, create and enter your OWN new recruitment/leader 10-character Code: *

This is YOUR new Code - not the other Code above!

WRITE DOWN YOUR NEW CODE NOW - After you finally complete and submit this form by clicking the button at bottom, you won't be able to see this form or your entries/answers anymore... until the forms system automatically sends you a full copy of this form several minutes later to the email address you provided above. Still, you should write down your new Code, just in case... Don't lose and/or forget your new recruiting Code!

SELECT FUTURE PAYMENT METHOD - This is only statistical info for a law firm to be selected, who will handle the actual future payment disbursements out to everyone, to negotiate best rates with an accounting or other financial services firm ahead of time, and to prepare any and all prior arrangements that must be likewise made. ONLY that law firm selected will ever be authorized to contact you (by the email address you provided on this form) in regards to obtaining your personal/account information that will be applicable to the payment method you select. When the time comes along, every leader will be notified which law firm will be handling these payment disbursement matters, and to expect that follow-up contact by direct email to you. It is assumed that an online secure (SSL) webpage will at that time be provided, and you will then enter your detailed personal payment information upon that secure online webpage. Regardless of which payment method you select, there will be a single $10 (ten dollar) fee deducted from your total overall net reward to cover the cost of setup, processing, and disbursing your reward payment to you in the method you will select at that time, as well as sending your tax documents to you later (see further below). In other words, just like winning a very large lottery prize, you'll have to pay some taxes on that later on, so we will have to send you the corresponding tax forms, regarding how much money you were paid as part of the overall class action lawsuit settlement.

All individual CAPRA Members remaining in good standing on board at settlement time will be paid by direct disbursements from this same law firm and/or their authorized accounting/financial services firm upon settlement. You will be responsible for your own future federal, state and local taxes, and will most likely be treated as an "independent subcontractor" in this process, receiving an IRS 1099 form, although the law firm and/or their any accounting/financial services firm will also be seeking to provide various tax shelter diversions to you, i.e., diverting portions of your net payment into your any optional choices of Health Savings Accounts, 401k's, IRAs and so forth and so on, so they may determine overall and/or different better methods for handling these matters using the most favorable tax treatments. The below choice of five future payment methods is simply to provide statistical data for reasonable planning ahead, so that everyone's net rewards are maximized to the fullest extent of the applicable taxation laws. There may, in fact, be even more options available when the time actually comes along. Again, the following question is ONLY for statistical and planning-ahead purposes, and you may change your mind and opt for a different method when the time actually comes along.

Select your likely preferred future payment method: *

Direct Deposit - to a bank or other financial account. Paper Check - a regular check mailed to an address. Gold Account - GoldMoney.com, Monex.com or similar. Tax Shelter(s) - one or more examples described further above. Combination - I am interested in diversifying my reward into multiple forms of payment, using more than one option above.

We appreciate the time it took you to complete this form. We are offering very LARGE amounts of money to be paid to a LOT of people, relatively-speaking, and we just need to be fairly sure that essentially everyone applying for, and being accepted into, one of these limited Memberships is both serious and worthy of that special blessing and role, especially for making lots of Internet noise upon the filing of this lawsuit. Again, we acknowledge and applaud your time and efforts in this process, and your own passion and drive for true justice in parental rights, as well as for all American parents, children, and families everywhere. Good for you!

I understand and agree to all of the terms on this form, and am now joining CAPRA in good faith as a fully qualified biological (natural) parent: *

I hereby confirm my understanding and agreement.

REVIEW YOUR ABOVE INFORMATION to verify complete and correct answers, and then use the "Captcha" box just below to prove you are an actual human being, by entering the word or words displayed into the text box, and then clicking to submit your finalized CAPRA membership enrollment form. Thank you and God bless. Justice is coming.

Prove you are human: *

*STUFF THE LEGAL PEOPLE MADE US ADD: Your participation within these events is completely voluntary, the same as by all other participants, organizers, and principals. All payments will be calculated as to all leaders who remain in good standing, which requires maintaining reasonable activity and participation. By participating, you also agree to hold harmless all organizers, promoters, sponsors, affiliates and similar others, for all acts or non-acts that are without or beyond the reasonable control of the principals, including Acts of God. In no event shall any of the program organizers, promoters, sponsors, affiliates or any similar others be liable for any direct, indirect, punitive, incidental, special, consequential or other damages or any claim arising out of or in any way connected with the participation in, or use or performance of, these processes, whether arising in contract, tort, negligence, strict liability or otherwise, even if there has been advisement of the possibility of damages. If you are dissatisfied with any portion of these terms of use, your sole and exclusive remedy is to discontinue and cease participation at your earliest knowledge of any factors contributing to your any dissatisfaction.

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