**Please fill in the information and hit the submit button. Then send your dues (with your name in the memo) and a copy of your child care license/registration to the address below.

CHARLES COUNTY FAMILY DAY CARE ASSOCIATION

One Year Membership Application & Helping Hands Registration

One of our many goals is to promote the family child care provider's professional growth and improve the community image of the family child care profession. As a result of our actions, we have an active voice for our profession, performing an advocacy role in the state of Maryland.

• We’ll help you get started by providing guidance in the areas of contracts, liability insurance, tax laws, bookkeeping, advertising, and any questions you may have regarding the licensing or renewal process.
• We have fully trained persons to fingerprint for the criminal background check. This service is provided free to our members and includes family members and substitutes, if necessary.
• We’ll keep you informed and provide support. Our quarterly newsletter and monthly association meetings will keep you abreast of upcoming workshops, current child care issues, CCFDCA-sponsored workshops, CPR/First Aid training, organized social activities/field trips, and other items of interest.
• We’ll assist you in lowering operating costs by providing resources to purchase child care supplies and equipment at discount rates.
• We’ll help you fill openings through our free referral network, "HELPING HANDS" (licensed providers only).
• Membership in the CCFDCA automatically enrolls you as a member of the Maryland State Family Day Care Association.

LAST NAME: FIRST NAME: MI:

CHILD CARE BUSINESS NAME:

MAILING ADDRESS:

EMAIL ADDRESS:

WEBSITE: http://

TELEPHONE NUMBER: BUSINESS NUMBER: FAX NUMBER:

NEIGHBORHOOD NAME: SCHOOL DISTRICT(S):

CHILD CARE REGISTRATION NO.: EXPIRATION DATE (with 4 digits for year): //

ARE YOU A NEW MEMBER? OR RENEWING?

AGES YOU PROVIDE CARE FOR: CURRENT OPENINGS:

BUSINESS DAYS/HOURS:

RATES (per week): Infants: Toddlers: K & Pre-K:
  Before & After School: All Day School Age:

DO YOU PROVIDE (please X all that apply): WEEKEND CARE EVENING CARE PART TIME DROP IN CARE

DO YOU ACCEPT SOCIAL SERVICES? ARE YOU ON THE FOOD PROGRAM?

 

PLEASE INCLUDE A COPY OF YOUR CHILD CARE ADMINISTRATION REGISTRATION/LICENSE WITH ALL NEW AND RENEWING MEMBERSHIPS.

 

MONTH YOU WERE BORN IN:

 

Associate memberships are offered to interested parties who may not yet have their CCA registration, but would like to benefit from CCFDCA. Associate members do not have a vote, cannot hold office, and cannot participate in "HELPING HANDS", but can receive free fingerprinting, attend functions, receive the newsletter and any other benefits of a licensed member not excluded above. If you are applying for an ASSOCIATE MEMBERSHIP, please check here:

What can CCFDCA do for you?

What contributions can you offer the CCFDCA? (Special skills, interests, etc.)

The annual dues for members and associate members are $20.00 per year. Please make check payable to CCFDCA and include a copy of your current CCA registration, if applicable to:

CCFDCA Membership, 1282 Smallwood Drive West Suite 122, Waldorf, MD 20603.

 

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