CUC MOPS Registration 2018-2019
Welcome! Please complete this form so we can learn about you! We are so happy to have you join us this year!

After completing this form, please follow this link to pay dues for the semester. https://onrealm.org/ColumbineUnited/Give/NYILUBIHNC. Select "MOPS" in the dropdown menu.

If you need childcare, dues are $75 for the 7 meetings from September - December. If you do not need childcare, dues are $50.

Your dues help support our programming, pay for materials, and provide quality childcare so all of our moms can get a peaceful morning of fun and fellowship. Limited scholarships are available for moms with financial need; please contact Lindsey Stevenson at lindsey@columbinechurch.org for more information.

Your Name (first and last)
Your answer
Home address:
Your answer
Cell or home phone:
Your answer
Email address:
Your answer
Birthday:
MM
/
DD
/
YYYY
Have you attended MOPS before?
How did you hear about this group?
What's your favorite color?
Your answer
What's your favorite candy?
Your answer
Please list your child(ren)'s names and birthdate(s):
Your answer
Do you need childcare? Who will be joining us in our MOPPETS program (for ages 6 months - 5 years)?
Your answer
Partner's name (if applicable):
Your answer
Anything else we need to know about you so we can radically welcome you to this group?
Your answer
Our first meeting is on Thursday, September 13th from 9:30 - 11:30. Will we see you there?
Questions?
Please email leader Lindsey Stevenson at lindsey@columbinechurch.org, or text or call her at 317.292.2433 with your specific questions. We look forward to a great year!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service