Children’s Healthcare Is a Legal Duty, Inc.
          

Box 2604, Sioux City, IA 51106
Phone 712-948-3500
E-mail: admin@childrenshealthcare.org
Web page: http://www.childrenshealthcare.org


MEMBERSHIP INFORMATION SHEET

The only requirement for membership in CHILD Inc. is general agreement with its aims. We would also like to have some information about your training, vocation, community service activities, or interest in children’s welfare. Please fill out the information requested below.

     


Name_________________________________________________________________________________

Address_______________________________________________________________________________

Phone number _________________________________________________________________________   

E-mail _______________________________________________________________________________       

Education _____________________________________________________________________________        

Vocation, community service activities, or ways you have shown interest in children’s welfare ______________   

_____________________________________________________________________________________    

_____________________________________________________________________________________   

I believe children are entitled to medical care, other necessities of life, and protection from physical and sexual abuse.          

Signature ___________________________________________________________________          

Membership dues are $40.00 a year for an individual or a family and $15.00 for a full-time student or as a gift membership. All dues and donations are tax-exempt. Please mail this form to the address above, or send the information in an email to admin@childrenshealthcare.org.

     


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