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MOPS Registration
Please complete this registration form so that we can get to know you and how best to serve you. Once we confirm childcare space for your child(ren), you will receive further instructions about paying dues to complete your registration.
Your Contact Information
Full Name
Birthday
Address
Phone Number
Email
Home church (if applicable)
What is the best way to reach you?
Email
Phone
What MOPS program are you interested in?
AM MOPS
Teen MOPS
Please check any ministry opportunities you'd like to know more about (Check all that apply)
Children's & Family faith opportunities
Youth faith opportunities (6th-12th grade)
Adult Bible Study
Do you plan to bring children to MOPS?
Yes
No
Please list the names and dates of birth of all children who you plan to bring to MOPS meetings on 1st and 3rd Wednesday mornings from 10:00 to 11:30 including infants.
Please list allergies or anything else that would be helpful for our childcare attendants to know about your children
Please list the names and ages of your children who are not attending MOPS
Emergency Contacts
Name(s)
Email(s) and Phone Number(s)
How did you hear about this MOPS group?
Is there anything else you would like us to know?
Submit