First & Calvary Presbyterian Church

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?

MOPS Registration

Your Contact Information

Emergency Contacts