Registration

Important: Are you a returning member who has already registered for membership online in the past? If so, please check off the 'Returning User' checkbox and enter in the username, password, and email associated with your membership account in order to re-register. If you've forgotten that information, please Click Here or contact the council. New members who have not registered online before, please leave the 'Returning User' checkbox unchecked.

Membership Info

Returning User

Username *

Password *

Confirm Password *

Email *

Membership Options *

Call 516.358.9250 with questions or email us at membership@childcarenassau.org.

Contact Info

Business Name

First Name *

Middle Initial

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Home Phone

Work Phone

Cell Phone

Fax

Payment Info

Card Type *

Card Number *

Expiration *

CCV Code *

What is this?

Billing Info

Same as Contact Info?

First Name *

Last Name *

Billing Address 1 *

Billing Address 2

Billing City *

Billing State *

Billing Zip *

The above is your finalized order information.
Please review and submit to confirm your purchase.

This transaction may take a moment to process.
Please only click on the submit button once.