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Registration for MOPS FBC Reading
Registration for MOPS member and children 2019-2020
How did you hear about our MOPS group? *
Name *
Email address: *
Address: *
Have you signed up on mops.org? *
Do you need childcare for one or more of our meetings? *
Name of Child #1 attending MOPS
Birth date of child (Include month, day, year) *
MM
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DD
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YYYY
Name of Child #2 attending MOPS
Birth date of child #2 (Include month, day, year)
MM
/
DD
/
YYYY
How would you like to pay membership dues? *
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