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
To become a member, please complete the following information and pay the $150 annual dues 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
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 in one of the payment methods listed above before you membership is approved. (scholarships also available, contact
How will you pay the $150 dues?
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service