SB MOPS Registration
SB MOPS is a place to come: rest, eat, laugh, learn, share, and be yourself.  We want to help you make this incredible time in your life even fuller by joining in community with other moms. Come and meet women that are going through some of the same challenges and celebrating the triumphs of the early years, as well as receive encouragement from our mentor moms, speakers and mothers that have already been there. 
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First Name *
Last Name *
Cell Phone Number *
Email *
Home Address *
Your Birthday *
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Have you attended a MOPS group before? If yes, where?
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Do you attend church? *
Required
If yes, where? *
MOPS is a nonprofit organization and we all work together to make our group run smoothly. Please check one or some things you would be interested in helping with... *
Required
MOPS Childcare
Childcare is provided at our gatherings for children ages 9 months-6 years old.  Babies under 9 months old stay on their mother's lap.  Please give information on your child or children that will be participating in MOPS childcare (only children 9mo-6yrs).
Child's Name
Child's Birthday
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Sex
Second Child's Name
Child's Birthday
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Sex
Third Child's Name 
Child's Birthday
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DD
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YYYY
Sex
Fourth Child's Name 
Child's Birthday
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YYYY
Sex
Any allergies or other special considerations for any of your children joining the childcare program?
Emergency Contact
Emergency Phone Number
Come try one gathering for FREE! 
The current registration fee to join is $85 per semester.  You can pay via credit card/check after you have tried MOPS and if it’s a good fit for you. 
We have a limited number of scholarships* available.  If you would like to apply for eligibility please briefly explain your circumstances below.    
*scholarships allow you to join at half the cost


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