Membership Application

On-Line Membership Application

 

You may print and mail this application form with your check or money order to:

        Child Care Solutions

        6724 Thompson Road

        Syracuse, NY  13211

or

You may become a member by Visa or MasterCard

click here.

 

First Name 
Last Name

Organization Name

(if applicable)

Address

include City & Zip
Phone  
E-Mail address

Annual Member Fees:

(please check one)

 

Professional Membership:

(Providers and Non-Profit Agencies)

$25 family child care home (provider plus 1 alternate)
$40 group family child care home (provider & 2 assistants)
$55 per site small child care program (5 or fewer staff)

$100 per site child care program or non-profit agency

(Call 446-1220, ext. 310 for information on special multiple-site programs)

 

Community Membership:

$25 friend
$35 advocate
$50 or more sponsor

 

For additional information on

membership benefits please call Terrie Burridge

at (315) 446-1220 ext. 301

or by email at:  ccs@childcaresyrac use.org.