Becker Baptist MOPS Registration

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Thank you for registering to be a part of Becker Baptist MOPS!

Your Name (First, Middle Initial & Last) *

Phone Number (Please note - call, text or both) *

Address *

Email Address *

Birthday *

YYYY

Best Method of Contact *

Call

Text

Other:

Have you attended MOPS before? *

Yes

If yes...where did you attend.

Home Church (If applicable)

How did you hear about our group?

What topics do you hope to see this year at MOPS?

What is your #1 reason for coming to MOPS? *

Socializing

Topics

Food

Advice

Friendship

Other:

Any areas of struggle we can help you with or provide resources to you for?

PLEASE LIST YOUR CHILD(REN)’S NAMES AND BIRTHDATE(S). Please note if they will attend nursery/MOPS Kids this year. *

Husband’s Name (if applicable)

Anniversary

YYYY

Tell us a little more about yourself and your favorites---ANSWER ALL OF THE FOLLOWING ******Snack/Treat, Hobbies, Color, Bible Verse, Music/Artist/Genre, Food, Author/Book Category, Movie/Movie Genre, Place to go with your kids/family, Beverage***** *

What is your Love Language *

Physical Touch

Words of Affirmation

Acts of Service

Receiving Gifts

Quality Time

Not Sure

Anything else you would like to tell us about you?

Are you registered through MOPS.org? If no, please visit http://www.mops.org/join/ and use code: O398 (O not zero) Membership is $31.95 for the entire year. There have been some promo codes for $2 off...so check MOPS International's facebook page before registering!! All MOPS members should register with MOPS international. If there is a hardship, a limited number of scholarships are available. Talk to Keri regarding scholarships. *

Yes

Our local dues help pay childcare workers, provide craft and activity supplies and pay speakers. They can be paid one of three ways... $70 per year or $40 per semester or $6 per meeting. If there is a hardship, a limited number of scholarships are available. Talk to Keri regarding scholarships. *

Yes, I understand that I am required to pay local dues in addition to the MOPS International membership, to help support operating costs of our group!

Are you willing to help with childcare during Steering meetings 1 or 2 times during the year? Steering meets to plan meetings on the first Wednesday of the month from 9-11am (In January we will meet on the 3rd Wednesday) *

Yes, I would love to help with childcare for steering meetings!

I am unable to help with childcare but would like to volunteer in a different compacity during the year

I am unable to volunteer

I'm on Steering :)

Other:

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