Dependent Care
Annual Meeting delegates may apply for a stipend of up to $100 per family per day.
The deadline to apply is Friday, April 24, 2026.
Member name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Local Association name
*
Dependent(s) name(s)
*
Starting date of service
*
-
Month
-
Day
Year
Date
End date of service
*
-
Month
-
Day
Year
Date
Service provider name
*
Submit
Should be Empty: