Eastside Family Cooperative
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Membership Application

If you send in this form, you will automatically be placed on our waiting list. If there is an opening for your child, we will contact you by telephone. Please update your status every 6 months to confirm your interest in staying on the waiting list. If we have not heard from you, your name will be removed.

Have questions? Not sure if you're ready to apply? You can contact us at membership@eastsidefamilycoop.org.

Please note: There is a $10 application fee. You can pay securely online via PayPal once your information is submitted. Alternatively, you can mail your check to EFC, 3300 SE Woodward Ave., Portland, OR 97202. Please make the check out to "Eastside Family Coop" and indicate your child's name and "application fee" on the check.

Parents' names:
Phone:
E-mail:
Mailing address:
Child's name:
Child's age:
Child's birthdate:
How did you hear about us?
Why are you interested in a cooperative vs. a childcare or preschool situation?
Please provide a short bio of your family.
Has your child been in other childcare situations?
Have you ever been a member of a cooperative?
Do you have any questions about the Eastside Family Cooperative?
Requested start date: