Natick Application

Natick Cooperative Playgroup Registration Form
Subject:

Website: www.natickcooperativeplaygroup.com

Registrar's Email: registrarncp@gmail.com

Please choose one of the following
New MemberCurrent Member

New Members: How did you hear about NCP?

Parents Names (required)

Address


Phone Number

Email Address

Note: Email addresses will be for member use and event information only. They will not be distributed to any outside group.

Caregiver Attending Playgroup(if not a parent)

Caregiver Email address

Please select your preferred day to attend playgroup. All days meet from 9:30-11:30.

MondayTuesdayWednesdayThursdayFriday

Registration occurs on a first come first serve basis. Every effort will be made to get you in your first choice session.

Names of Children Attending / D.O.B. / Food allergies

Name: D.O.B. Allergies

Name: D.O.B. Allergies

Name: D.O.B. Allergies

Name: D.O.B. Allergies

Names of other children not attending regularly / D.O.B.

Name: D.O.B.

Name: D.O.B.

Please include the names of all children. Expectant mothers should write "new baby" and the approximate due date. Other children not in your family who will be attending playgroup on a regular basis must pay an additional membership fee and have a separate form completed.
A email informing you of which session you have been placed in along with the Natick Cooperative Playgroup Guidelines will be sent in late August/early September.

I assume all risks to myself and my children arising out of the use of the facilities and participation in Playgroup. I release the Natick Cooperative Playgroup and its members from all liability from the use of Playgroup facilities.

Signed

Date

Periodically, NCP officers take pictures at playgroup and events to be posted on our website, facebook page and in our newsletter. If you do not want your child’s photo on these sites, please check this box.

Do not use my photosYes you can use my photos

*If you are paying with a credit card, after you click to submit your registration form online, please locate the Pay with PayPal option on our website to pay your membership fee.

Pay with CheckPay via PayPal

If paying by check, please mail your payment to:

Natick Cooperative Playgroup
PO Box 11
Natick, MA 01760