Signup Form

MEMBERSHIP REGISTRATIOND'ADHÉSION

If you are a current CCCF member and recently received the CCCF flyer with a coupon code on it, please select your membership category from below and then enter your coupon code. Your membership will be valid for a period of one year and you will not be charged for your membership at checkout.

All fields marked with the * are mandatory.

Si vous êtes membre en règle de la FCSGE et que vous avez reçu récemment un dépliant sur lequel est inscrit un code, il vous suffit de préciser la catégorie de membre à laquelle vous appartenez et d’entrer ce code. Votre adhésion sera valable pour une année et il ne vous en coûtera rien au moment de passer à la caisse.

Tous les champs comportant un astérisque (*) sont obligatoires.

* Membership Type

Organization Membership 90.00 CAD for one year
Individual Membership 65.00 CAD for one year
Student Membership 35.00 CAD for one year

Enter coupon code

ACCOUNT INFORMATIONINFORMATION DU COMPTE

* First & Last Name

* Choose a Password

must be 6 or more characters

* Confirm Your Password

* Your E-Mail Address

a confirmation email will be sent to you at this address

ADDRESSADRESSE

* Street

* City

* Postal/ZIP CodeCode postal

* Country

* Province/StateProvince/état

* Phone Number

ADDITIONAL INFORMATIONAUTRES RENSEIGNEMENTS

Training Institution

(if applicable)

Centre/Family or Home Child Care Name

(if applicable)

Permission to use your email for CCCF’s Newsletters

Permission to use your address or email for general communications from the CCCF

PAYMENT METHODMÉTHODE DE PAIEMENT

Payment System

Pay with your Credit Card accepts all major credit cards

Built on aMember Pro™ membership software