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Are you a child with OCD? A parent? A teacher?
When you become a member we can tailor your experiences on this site and provide you with the resources YOU want. We urge you and your family to become members of JJ's Place. It's easy. Just fill in the form below. To help us provide a safe and responsible experience at JJ's Place, we request that an adult will register the entire family.
Your membership will ensure our continued ability to maintain this site.
You will gain the following benefits:
1. Receive our monthly newsletter.
2. Learn about OCD and how to cope with it better.
3. Participate in our on-line communities and events.
4. Access to interactive tools, message boards, and communication areas.
5. Read and submit book reviews.
6. E-mail helpful articles to grandparents, family, teachers, and friends.
7. Invite guests to browse through JJ's Place.
Most importantly,
8. You will support other kids and families who are dealing with OCD.
JJsPlace.org Sample Registration Form
1. First Name:
Last Name:
2. Please enter your preferred user name:
3. Please choose your password:
Please enter your password again:
4. Please enter your e-mail address:
We promise never to distribute your e-mail address or send you e-mail without your express permission.
5. Please select your type of account: Parent | Teacher | Therapist or other OCD Professional | Other Family or Friend
6. Gender: Male | Female
7. Street Address:
City:
State:
Country:
Zip Code:
8. If you are a parent, please tell us how many children you have:
If you are a teacher, therapist, or physician please skip to number 30.
9. Child 1 Name:
10. Child 1 Age:
11. Child 1 Gender: Boy | Girl
12. Does Child 1 have OCD? Yes | No
13. Please enter a user name for Child 1:
14. Please enter a password for Child 1:
Please enter Child 1's password again:
15. Please select the type of account for this child: OCD Child | Sibling of OCD Child
16. Child 2 Name:
17. Child 2 Age:
18. Child 2 Gender: Boy | Girl
19. Does Child 2 have OCD? Yes | No
20. Please enter a user name for Child 2:
21. Please enter a password for Child 2:
Please enter Child 2's password again:
22. Please select the type of account for this child: OCD Child | Sibling of OCD Child
23. Child 3 Name:
24. Child 3 Age:
25. Child 3 Gender: Boy | Girl
26. Does Child 3 have OCD? Yes | No
27. Please enter a user name for Child 3:
28. Please enter a password for Child 3:
Please enter Child 3's password again:
29. Please select the type of account for this child: OCD Child | Sibling of OCD Child
30. If you are a teacher or a therapist, is your student or patient a member of JJsPlace.org? Yes | No
Membership will allow you unlimited access to JJsPlace.org for an entire year. The cost of membership is $10. Please fill out the information below.
31. Credit Card Type:
32. Credit Card Number:
33. Expiration Date:
34. Name on Credit Card:
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