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ARISE MOPs/MomsNext Registration Form '23-'24
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Email
*
Your email
What is today's date?
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MM
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DD
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YYYY
Your First and Last Name
*
Your answer
Address
Your answer
Phone number
*
Your answer
Date of Birth
MM
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DD
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YYYY
Home Church (if applicable)
Your answer
How did you hear about ARISE MOPs/MomsNext?
Your answer
Which meeting are you interested in attending?
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1st & 3rd Fridays 9:30a-11:30a *childcare provided
2nd & 4th Tuesdays 6:30p-8:30p
Both!
More info please!
If you are interested in Fridays, how many children, and what ages, will be attending?
Your answer
Does your child/ren have any allergies, or anything that we need to know about?
Your answer
Registration with MOPs International is required. It is $35 for a full year,
www.mops.org/join
group number PG9P. Have you registered for this year?
*
Yes
No
I need to speak with someone regarding a scholarship. (Scholarships include MOPs Int. membership as well as childcare fees for a full year.)
Childcare will be $30 per family, per semester. (Alt. $5 per family per meeting, whichever is cheaper.) Cash or check accepted. Please make checks payable to Arise Church, memo: Mops. *This is just a note, no answer required.*
Your answer
Facebook: Are you a member of the ARISE MOPs Group Members Only and/or ARISE MOPs in Hillsboro, OR Public Group?
Group Members Only (only open to those who are, or will be, registered with MOPs Int.)
Public Group (open to past members, potential members, current members, or anyone interested in our local community.)
Both
Neither
Clear selection
If you do not have a Facebook account, are you comfortable being in a group text with other non-facebookers?
Yes
No
Maybe? I need more info.
Clear selection
What are you looking forward to the most, by joining this group?
Your answer
A copy of your responses will be emailed to the address you provided.
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