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MOPS at Renton Church of the Nazarene Registration Form
2nd & 4th Wednesdays of Each Month
Event Address: 850 Union Ave NE, Renton, WA 98059
Contact us at (425) 271-3206 or rcnmops@gmail.com
If you register and pay your dues by 5/31/2017 you will receive a discount. The dues are $110 for the 2017-2018 year. Effective 6/1/2017 the regular dues for the 2017-2018 are $130.
Name (Last, First M.I.)
Your answer
Phone (Mobile)
Your answer
Phone (Home)
Your answer
Address
Your answer
Email
Your answer
Birthday
MM
/
DD
/
YYYY
Have you attended a MOPS group before?
If yes, to the above, where?
Your answer
Are you transferring your MOPS International Membership from another location?
If "yes" to the above, where are you transferring from?
Your answer
Home Church (if applicable)
Your answer
How did you hear about this MOPS group?
Your answer
Please list your child(ren)'s name(s) and birthdate(s), and whether or not they will be coming with you to MOPS:
Your answer
Husband's Name (if applicable)
Your answer
I am interested in joining the leadership team.
I am ready to pay the MOPS International registration fee for 2017/2018 through Renton Church of the Nazarene's online form. (Please follow the second link on our home page to pay.)
Required
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