WCPA Membership Form

Please list family members' names (first & last), as you would like them to appear in the WCPA directory. Other than the directory, the WCPA does not share membership information with vendors.

Parents: _____________________________________

Address: ____________________________________

Phone Number: _______________________________

Email Address: _______________________________

Children's Name(s)/Date(s) of Birth:

__________________________________ _________________

__________________________________ _________________

__________________________________ _________________

__________________________________ _________________

__________________________________ _________________

Please circle the WCPA activities below which interest you.

Drop-In Playgroup, Pre-School Programs, Toddler Programs, Parents' Parties, Halloween Party, Egg Hunt, Pre-School Forum, Parenting classes

If you are interested in joining a playgroup, please indicate your child's age and what days and times are best for your schedule.

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Membership dues: $45 per family per year, $80 for two years, renewable in September. Please make check payable to Wayland Children and Parents Association and mail to:

WCPA
P.O. Box 271
Wayland, MA 01778