Ohio Connection
Membership Form
Name:___________________________________________________________
Address:________________________________________________________
County:_________________________Local Association:_________________
City:___________________________Ohio, Zip:_________________________
Phone: ( )_____________________E-mail Address____________________
I wish to join the Association as
( ) Provider $30
( ) Local Association Members ($10) (If local association dues are current)
( ) Parent $10
( ) Partners of Providers $50 (Agencies, Local Associations)
Make check or money order payable to: Ohio Connection; Mail application and dues to:
Pat LaBauve
2509 Lowell Ave.
Lima, Ohio 45805
Membership Benefits
v Representation on child care boards and committees
v Networking opportunities
v Discount to Ohio Connection Annual Conference
v Legislative updates on child care issues
v Discount NAFCC membership
v Availability to Membership Directory
v Right to attend Ohio Connection Board meetings
v Membership packet with membership card and certificate
