MOPS 2023-2024 Registration
We are so excited you are interested in joining our Northbrook United Methodist Church MOPS and MomsNext group for the 2023-2024 year. Please fill out all information in its entirety. At this time our child care is on a waitlist. If you would like to be added to the list please email us at northbrookumcmops@gmail.com We are happy to continue registrations for all moms who do not need child care by filling out this registration form.  
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First and Last Name *
Phone Number *
Street Address *
City *
State *
Zip Code *
Email Address *
Birthday *
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DD
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YYYY
Anniversary *
MM
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DD
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YYYY
Kids' Names and Ages *
Spouse's Name *
Home Church (if you have one)
Dietary Restrictions (if you have any)
I am registering for: *
Child(ren)'s Names and Birth Date(s) who will be enrolled in MOPS Kids. If none, please write "None". *
Child(ren)'s allergies attending Mops Kids. If this doesn't apply or there are none, please write "NA". *
Special Instructions for Childcare (optional)
Fees -Yearly dues include MOPS International fees. No refunds will be provided. Scholarships available, if needed. Please email northbrookmops@gmail.com for more information. *
I will pay my dues via: *
How did you hear about our MOPS group? *
Is this your first time at Northbrook MOPS?
 *
Attendance - We are so excited to have you join us at NUMC MOPS and MomsNext! Because your presence is what makes our group so amazing and we often have a wait list to join, we ask that you make attendance a priority. If you miss 2 meetings in a row or 3 or more meetings in one semester, we will ask you to sit down with the Co-Coordinators and your Table Leader(s) to discuss an appropriate path forward. *
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