Resource Ctr. Membership

Building Brighter Futures - One Family at a Time

To join the SSR-Early Learning Resource Center (ELRC), please submit the following on-line membership form, along with your payment. Payments may be made with your credit card or via pay pal online. You may also mail a check or money order to Smart Start Rowan, 1839 W. Jake Alexander Blvd., Salisbury, NC 28147.

Early Learning Resource Center
Membership Form

Please complete all fields below. Your annual membership will begin once your payment is received and your membership application is processed. This process typically takes one business day, if you paid the membership fees online.

Todays Date:
Name:
Child Care Facility Name:
Mailing Address:
City/State/Zip Code:
Work Phone:
Home/Cell Phone:
Email Address:
	Please select appropriate fee category.
	Child Care Center - $35.00
	Family Child Care Home - $15.00
	Individual/Parent - $10.00