2016-2017 MOPS International Registration Form "We are the Starry Eyed"
WELCOME to Cornerstone MOPS/MOMSnext!
Please complete this form so we can learn about you!
YOUR LAST NAME: *
Your answer
YOUR FIRST NAME: *
Your answer
YOUR M.I.
Your answer
D.O.B (FOR BIRTHDAY CLUB!)
Your answer
HOME PHONE: *
Your answer
ALTERNATE PHONE:
Your answer
EMAIL ADDRESS: *
Your answer
ADDRESS: *
Your answer
CITY, STATE, ZIP CODE: *
Your answer
HAVE YOU ATTENDED MOPS/MOMSnext GROUP BEFORE? *
IF YES, WHERE?
Your answer
ARE YOU ALREADY REGISTERED FOR THE MOPS INTERNATIONAL MEMBERSHIP? *
HOME CHURCH? (if applicable)
Your answer
HOW DID YOU HEAR ABOUT THIS MOPS/MOMSnext GROUP? *
Your answer
PLEASE LIST YOUR CHILD(REN)'S NAME(S) & BIRTHDATE(S): *
Your answer
WHICH MOPS/MOMSnext GROUP WILL YOU ATTEND? *
MOPS/MOMSNEXT MEMBERSHIP FEE $24.95
YOU WILL RECEIVE A WELCOME KIT AND HELLO DEAREST MAGAZINE FROM MOPS INTERNATIONAL
CORNERSTONE MOPS GROUP FEE $50.05
FEE INCLUDES BI-WEEKLY MEETING PLACE, SUPPLIES FEE, CRAFTS, GUEST SPEAKERS, MOPPETS CURRICULM, MOPPETS CARE & SUPPLIES.
TOTAL $75
EVERY MOM NEEDS MOPS!
Once you have submitted your form, copy & paste this link to pay registration fee: http://cornerstonechurchofparker.org/#/kids/mops-momsnext
We are looking forward to meeting you! Let's be Starry Eyed together!
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