Program Year September 1, 2021 - August 31, 2022
**Your current membership expires on August 31, 2021
CAP Certified Therapy Teams are not permitted to visit until current membership is paid. Additionally we are requiring all visiting members to be vaccinated for COVID 19 and by completing this form, you are acknowledging your compliance with this requirement.
Please pay membership before 8/31/21.
(This form is an SSL-encrypted secure form.)