2017-18 Newberg MOPS Registration
Welcome! Please complete this form so we can learn about you!
Last Name:
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First Name:
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Birthday:
MM
/
DD
/
YYYY
Home Phone Number:
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Alternate Phone Number:
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Address: (Street, City, Zip)
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Email:
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Have you attended a MOPS group before?
If yes, where?
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Please list up to 3 options of people you would like to sit with at your table:
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Home church (if applicable):
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Are you interested in being a Discussion Group Leader?
Please list any skills or talents you would be interested in teaching at a Mom's Time Out:
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Please list anything you sell/make that you would be interested in donating for MOPS prizes?
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