Soprema Senior Center: Member Registration

Soprema Senior Center Member Registration

Welcome! Membership to the Soprema Senior Center is free to all seniors aged 55+. Members that live within the Wadsworth City limits will receive our quarterly newsletter in the mail for free.

For those that live outside of Wadsworth and would like to have the newsletter mailed to them, it is only $5 to cover postage for the year. (Payment can be mailed to 617 School Drive, Wadsworth, OH 44281.)

Our newsletter can also be accessed online at:
https://www.wadsworthcity.com/289/Current-Newsletter

YOUR CONTACT INFORMATION

First Name
Last Name
Street Address
City
State
Zip Code
Primary Phone Number
Secondary Phone Number (Optional)
E-Mail Address
Birth Date (Example: 12-03-1956)
Are You a Veteran?

EMERGENCY CONTACT INFORMATION

Emergency Contact First Name
Emergency Contact Last Name
Relationship to You
Emergency Contact Primary Phone Number
Emergency Contact Secondary Phone Number

(Optional)

Please enter the numbers to the right of the box: 115404

First Name
Last Name
Street Address
City
State
Zip Code
Primary Phone Number
Secondary Phone Number	(Optional)
E-Mail Address
Birth Date	(Example: 12-03-1956)
Are You a Veteran?

Emergency Contact First Name
Emergency Contact Last Name
Relationship to You
Emergency Contact Primary Phone Number
Emergency Contact Secondary Phone Number	(Optional)
Please enter the numbers to the right of the box: 115404