Junior League of Rockford Membership Application
The Junior League of Rockford, Inc. reaches out to women of all races, religions, and national origins who demonstrate an interest in and a commitment to voluntarism. To find out more about the Junior League of Rockford please visit our website at
or contact us at
By submitting this application you are joining the 2020-2021 new member group. New Member trainings and New Member specific events will usually begin in September 2020 and continue through May 2021.
To become a member, please complete the following information and pay the $150 annual dues (or reduced rate depending on when you join) in one of the following ways:
1) Mail a check to: Junior League of Rockford, Inc., Attn: Provisional Recruitment, 4118 Pinecrest Road, Rockford, IL 61107.
2) Pay online through our website at
and choose the "Donate" option from the homepage to make a general donation with a note for "New Member Dues".
3) If you are at an event where we have a credit card swipe, reach out to the Junior League member accepting payment.
4) Request a scholarship or payment arrangement by filling out the dues scholarship/payment arrangement form at
and sending it in or emailing us at
-25% discount to members who join from December 1st – January 31st
-50% discount to members who join from February 1st – March 31st
-Dues waived for members who join from April 1st – May 31st
-The Junior League Year runs from June to May each year. Annual dues are due for all members by April 15 each year for the following year- even if you join later in the year.
Birth date (please include year- year is not published publicly)
Do you accept the invitation to Provisional Membership in the Junior League of Rockford, Inc. and agree to pay $150 in annual dues (or reduced rate depending on when you join) in one of the payment methods listed above before you membership is approved. (scholarships also available, contact
How will you pay the $150 dues? (or reduced rate depending on when you join)
Check mailed to Junior League
Online through Junior League's website
At an event where I paid a member by credit card
I contacted JLR to request a scholarship or other payment arrangement
Type your full name below to confirm that the information provided is accurate. This constitutes your digital signature of your Junior League of Rockford membership application.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service