Burtonsville MOPS 2021-2022 Mom Registration
Welcome to Burtonsville MOPS!  We're so excited to have you!

To be completely registered, each mom needs to:
1) Pay MOPS International dues: https://www.mops.org/
2) Complete this form and pay chapter dues
3) Complete the childcare form if you plan on using childcare during the year*

*We are currently on a waitlist for childcare. Moms who do not need it or have a child that is under 6 months at the time of attendance can still join. If you're interested in being a part of Burtonsville MOPS but need childcare, please fill out our MOPS registration form and childcare form. Do not pay any dues, we will contact you when a spot opens up.

If you have any questions, feel free to reach out at burtonsvillemops@gmail.com and welcome to MOPS!
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Email address *
Last name *
First name *
Street address *
City/zip *
Phone number *
Date of Birth *
Children's names and ages (All kiddos please!) *
Have you attended a MOPS group before?  If so, where? *
Are you expecting this year?  If so, when?  (And congrats!) *
Please send Chapter dues after signing up. Dues are $100 if paying for the entire year or $55 if paying only for first semester.  (Second semester dues will be collected at the end of January 2022.)   *
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