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We offer two membership options.

Option 1

Option 2

Members who do not wish to be listed in the daycare directory need not follow these guidelines. Dues will be $25.00.

ODCP Membership Form

Name:

______________________________________________________________

Address:

______________________________________________________________

______________________________________________________________

Phone:

______________________________________________________________

 

Membership Option (please circle one)

1

2

Do not wish to be listed in directory

 

Are you licensed?      YES      NO      License #______________

What are your operating hours & weekly fee?
________________________________________________________

What ages of children do you accept in your day care?
________________________________________________________

How did you find out about the ODCP?
________________________________________________________

 

YES

NO

I am a license-exempt provider, I care for no more than 3 children in addition to my own.

YES

NO

I am a licensed provider, I follow NH licensing regulations.

YES

NO

My child care area is free of hazards and a safe environment for children.

YES

NO

I serve nutritious meals and snacks to the children.

YES

NO

I have age-appropriate toys and provide a balance of active and restful activities.

YES

NO

A member of my family has been convicted of child abuse or neglect.

YES

NO

I have an emergency evacuation plan for my home which is practiced with the children.

YES

NO

I have working smoke detectors that I check periodically.

YES

NO

I have information on emergency contacts for each child.

YES

NO

I supply parents with my social security number or tax ID number and report my day care income to the IRS. (This is required of all providers, licensed or exempt, by federal law.)

 

____________________________________________________

Signature

______________________________________

Date

 

 

 

Send this completed form with the $25 or $50 nonrefundable
membership dues, payable to ODCP to:
Marie Lambrou
840 Douglas Street Extension

Manchester, NH 03102

NOTE: If joining between April 30 - September 1st, pay only half fee.
Full dues payable on September 30th for fiscal year

 

How could you help the ODCP??

___Attend monthly meetings

___Support fundraisers

___Work on fundraising committee

___Be on telephone committee

___Serve on Board of Directors



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