Ute Pass MOPS 2019-2020 Registration
Welcome to the 2019/2020 UTE Pass MOPS year!  
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I am a: *
If you are a “new mom”, how did you hear about our MOPS group? (Please leave a name of mom, if applicable)
Name (first & last) *
Email *
Phone Number *
Mailing Address (with City and Zipcode) *
Birthday *
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What is the best way to contact you? *
Home Church
MOPS Kids Registration
Please indicate children needing MOPS childcare first.  If you do NOT require childcare please indicate so in the section titled “Anything else you’d like for us to know”.
If you are currently expecting, when is your due date.
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Name of first child
Birthday
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Allergies
Name of second child
Birthday
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Allergies
Name of third child
Birthday
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YYYY
Allergies
Additional children (list names, birthdays and any allergies)
What elementary school will your children attend?
Anything else you would like to share with us:
If you have school age children that go to a 4 day school  and will need childcare on Fridays, please list them here.
Photo Release
Photo Release *
Online Signature & Date (please put your name & current date) *
Reminder: We will be meeting on Friday’s next year!  Feel free to put our meeting dates in your calendar.
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