JERSEY CARE FEDERATION MEMBERSHIP REGISTRATION FORM 2024

Membership of the Jersey Care Federation is available to all Approved Care Providers Registered with the Care Commission in Jersey under the Regulation of Care [Jersey] Law 2014

Name of Organisation

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name of Registered Manager

Name of Proprietor or Company

Phone

(###)

###

####

Number of beds if CARE HOME

Number of Clients if HOMECARE PROVIDER

Total number of staff employed

I declare that the information on this Registration Form is accurate and that the above details include all care facilities for the organisation of which I am the Proprietor/Manager, Accredited Representative, responsible. I further declare that I have read the Data Protection Statement overleaf and that I understand and will support the Purpose Statement of the Jersey Care Federation and accept that in pursuance of its objectives the Federation will require the maintenance of certain professional standards. I agree to uphold those standards.