Join/Renew Annual Membership

There are 3 membership levels to choose from:

Platinum Level

18 In-Facility Programs
Your Facility Name & Hyperlink (provided by facility) on our Website
Your Facility Name on Creative Aging Cincinnati brochures & programs
$1900

Gold Level

12 In-Facility Programs
Your Facility Name & Hyperlink (provided by facility) on our Website
Your Facility Name on Creative Aging Cincinnati brochures & programs
$1300

Silver Level

6 In-Facility Programs
Your Facility Name & Hyperlink (provided by facility) on our Website
Your Facility Name on Creative Aging Cincinnati brochures & programs
$700

Additional Information

Payment plans available upon request

Activity Director responsible for supplying facility website for hyperlink on the Creative Aging website.

All Creative Aging programs must be scheduled through the Program Director at 200-6940. All programs must be used during the calendar year of membership as they do not carry over.

Our website (www.creativeagingcincinnati.org) is the best place to find the most current listing of program options. If you do not have access to the website, we will provide a hard copy version of our program options. Please check the box on enrollment form to request this. Facility must fill out the provided Program Data Sheet following each performance and return via email, mail or fax immediately following the program.

Click here to download a PDF version to Mail or Fax

Online Payment for Annual Membership / Renewal

* Indicates a Required Field

Facility Information

* Name:

* Address:

* City:

* State:

* Zip Code:

* County:

* Director:

* Phone:

Fax:

* Email:

Facility Website:

* Website Access

I do have Internet access and understand that all current program options can be found on the CAC website.

I do not have Internet access and will need a hard-copy of available programs mailed to our Facility Address.

* Membership Level

Platinum Level: $1,900

Gold Level: $1,300

Silver Level: $700

Custom

* Payment Type:

* Payment Amount:

* Membership Agreement

I agree to schedule all of our Creative Aging programs through the Program Director at 200-6940. I understand that all of our programs must be scheduled during the calendar year of membership as they do not carry over. I agree to pay in full or pay per the agreed upon payment plan (below). I understand the Program Data Sheet is required following each program. I agree to complete, or make appropriate arrangements for completion, Creative Aging’s Program Data Sheet both accurately and completely, and return it as directed to Creative Aging Cincinnati immediately following every program via email, mail or fax. I understand that failure to comply may result in termination of the working relationship.

Do you agree with the Membership Agreement?

In this section...

Join/Renew Annual Membership

Platinum Level

Gold Level

Silver Level

Online Payment for Annual Membership / Renewal