MOPS 2018-2019 Registration
MOPS - First Baptist Church Platte City, MO
Email address *
Name *
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Address (City/State/Zip) *
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Best Phone Number *
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Birthday (MM/DD/YYYY) *
Your answer
Emergency Contact Number *
Your answer
Home Church *
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Spouse's Name *
Your answer
Favorite Treat Under $5 *
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MOPS KIDS. Only list children that will attend MOPS Kids. Include birthday (MM/DD/YYYY), allergies and any special needs to consider. *
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Service. Do you want to help serve in MOPS or know more about how to serve? Tell us about your strengths and interests! *
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What topics would you be most interested in hearing about this year in MOPS? *
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Is there another topic you'd be interested in that isn't listed above? Please describe below.
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I understand that I will have to pay $55 after registering, and or will inquire about MOPS scholarships. *
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