Ohio Family Care Association Family Membership Application
Support Group ($40)
Family Membership provided by your agency. (Must list the name of your agency below)
Pay Now - By Check. Make payable to OFCA and mail to: 303 E. Broad Street, Columbus OH 43215
Pay Now - Online - Go to "pay here" link on website
Pay later - OFCA will send invoice to your email address
Family Membership provided by your agency (Must list the name of your agency below) *Families affiliated with County or Private agencies that have an OFCA agency membership receive a free family membership (a $25 value per family).
Agency that supports your family (If applicable)
Agency that holds your license or Agency that supports your family
Your Family Type(s)
Click all that apply
Support Group Name
Skip if Family Membership
First Name (Contact Name if Support Group)
Type of Telephone
2nd Telephone (if any)
What is the best way to contact you
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