TAS Membership Application

Click here to download the PDF TAS membership application or fill in the form below.

New Member Form

  • CURRENT EMPLOYMENT

  • Current employment in a child care facility (if you are not employed in a child care facility, go to OTHER EMPLOYMENT)

    Dates of employment at this facility:
  • OTHER EMPLOYMENT

  • MISCELLANEOUS INFORMATION

  • Benefits (check all that apply)
  • If yes, how many children do you have in each of the following age groups?

  • ** Thank you for your cooperation. All information is confidential **