Authentic Voices of North Dakota Membership Form


Authentic Voices of ND provides opportunities for survivors and others impacted by any form of child sexual abuse, child abuse or neglect to educate adults and protect children by sharing their voice.

Join Authentic Voices of North Dakota:

Participate in opportunities to educate adults and
protect children by sharing your voice!

“Voice” includes more than just the spoken word. It includes almost
any skill, talent or resource you wish to share for the education of
adults and protection of children.

Contact Information: ** information is required.
** First Name:
Middle Initial:
** Last Name:
** Address:
** City:
** State:
** Zip Code:
** Phone:
Business Phone:
** Email:

How are you affected by child abuse, child sexual abuse or neglect? (check all that apply)

I am an Authentic Voice (victim/survivor)
I know an Authentic Voice
I am an advocate for children
Concerned professional

Call 1-800-403-9932 for more information.

Prevent Child Abuse ND
P.O. Box 1213
Bismarck, ND 58502-1213
Fax: 701-355-4362

We look forward to working with you to end all forms of child abuse, child sexual abuse and neglect in North Dakota.



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