Chantilly Bible Church - MOPSOnlineRegistration

...He lives in you and will be in you

John 14:17

Registration Forms
You will need to fill out the following form. This form is your initial registration for MOPS International. Once your space is confirmed, you will need to fill out a second form for semester fees and child information.
Please do not pay your semester fees until you recieve confirmation of space.

MOPS International & Initial Registration

Welcome to MOPS! Please tell us about yourself.
Last Name:*
First Name & MI*
Phone #:*
Address:*
City:*
State:*
Zip:*
Birthday:*
Email:
Husband's Name (if applicable)
Work Phone #:

Do you attend a church?	Yes No
If yes, where?
Are you a prior MOPS attendee?	Yes No
Referred to MOPS by:

Children:
Child #1, Name:
Birthday, MM/DD/YR:
Will be attending MOPPETS?	Yes No Unsure

Child #2, Name:
Birthday, MM/DD/YR
Will be attending MOPPETS?	Yes No Unsure

Child #3, Name:
Birthday, MM/DD/YR
Will be attending MOPPETS?	Yes No Unsure

Child #4, Name:
Birthday, MM/DD/YR
Will be attending MOPPETS?	Yes No Unsure

Organizing MOPS meetings and activities is an undertaking that requires help from many different women. As part of joining the group, we ask that each mom serve in a designated area throughout the year. The more people we have on board, the less of a burden it will be on all of us!
Please mark where you are willing to serve. Rank your top 3 choices.

Creative Activities (Set up / Clean Up / Help plan and prepare crafts)

Hospitality (Set up / Clean up / Help plan themes / games)

Finance (Registration / Paperwork)

MOPPETS (Help with child care on an infrequent and occasional bsis beyond the one time we ask a sememster)

Publicity (Proofreading / Bulletin Board / Photographer / Provide articles)
		What is this?
Word Shown*

* indicates a required field