Commercial Child Care Center

Membership Application

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 Director's Name ___________________________________ Date _____________

 Name of the Center _________________________________________________

 Street Address __________________________________ Phone # _____________

 City___________________________ State ___________ Zip Code ____________

 What hours are you open _____________ What days______________ What ages  do you  accept ______________ Do you accept children with Special Needs  _________ Do you  offer a Summer Camp Program ________________ What  days are you closed _______________________________________________

 Name of person attending workshops __________________________________

 List of other teachers attending workshops-Dues 25.00 per teacher  ____________________________________________________________________

 ____________________________________________________________________

 ____________________________________________________________________  ____________________________________________________________________


 

 Send 50.00 dollars along with your membership application to: Cindy Harris-

 Blue Springs Child Care Association-410 SW Graystone Drive-Grain Valley, Mo.  64029





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