Community MOPS 2017-2018 Registration & Information Form
Please take a few moments to complete the Community MOPS 2017-2018 Registration & Information form. Your childcare spots will not be permanently reserved until this form is complete. If you have any questions or concerns please contact Caitlin Sheehan (caitlin@elginchurch.org) or Joelle Hodson (joelle@elginchurch.org).
Name
E-mail
Phone Number
Mailing Address (Street Address, City, State, Zip)
Children you will be bringing to MOPS meetings (12 months and older) who WILL BE IN childcare. MUST list child's name, age, AND birthdate.
Children (12 months and younger) you will be bringing to MOPS but WILL NOT, as of August 2017, go to childcare. Name, age, and birth date.
Children who will not be attending MOPS with you.
How are you planning to pay your 2017-2018 MOPS dues?
Your Birthday
MM
/
DD
/
YYYY
Spouse/Significant other (if applicable)
Anniversary (if applicable)
MM
/
DD
/
YYYY
Are you expecting?
If you are expecting, what is your due date?
MM
/
DD
/
YYYY
Occupation? Yes, SAHM counts!
Preferred method of communication:
Required
Do you have a home church?
If yes, what church do you attend?
Do you have any food allergies, aversions, etc? GF, DF, vegan, vegetarian, etc.
What other ministries or activities, if any, are you involved in?
Gifts, talents, or specialties you might like to share with MOPS?
What is your favorite treat to enjoy by yourself at the end of a long day?
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