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2007-2008 MOPS Registration
Registration is Full for Childcare ~ Waiting list policy in effect ~ 9/11/07

We are looking forward to the 2007-2008 MOPS year!  Please complete the below registration form completely.  We anticipate the need for a waiting list this year due to the number of children we cared for last year.  We are planning to provide childcare for 30 children.  After there are 30 children registered, we will institute our waiting list - click here to see our policy details.  As always, we never limit the number of moms that can attend our meetings - provided that alternate childcare is arranged.  Early registration and payment will provide the best opportunity for you to receive childcare during our meetings.  You will receive confirmation of your registration once your payment is received.

First Name:  MI:    Last Name:

Home Phone:    Work Phone:   Cell Phone: 

Address:

City:    State:    Zip: 

Email:     Birthday: 

Husband's name (if applicable): 
 

Have you ever attended a MOPS group before?  Yes   No

  If so, where?

Are you registered for the MOPS to Mom Connection through MOPS International?
 
Yes   No

Do you attend church?  Yes   No 

  If so, where? 

How did you hear about this MOPS group? 

 

Please include your child(ren)'s information:

Child's name:    DOB:    Allergies: 

Child's name:    DOB:    Allergies: 
Child's name:    DOB:    Allergies: 
Child's name:    DOB:    Allergies: 

 Child's name:    DOB:    Allergies: 

Comments:.

May we include you in the ORBC MOPS directory?  Yes    No  

 

Please remember to make your check payable to Oak Ridge Baptist Church in the amount of $20.00 and include MOPS in the memo line of the check.  The $20 fee goes directly to MOPS International to pay for the MOPS to Mom Connection and other benefits. You can either bring the payment to our first meeting or mail the check to: 

Oak Ridge Baptist Church
Attention:  Tery Carey - MOPS
361 Tilghman Road
Salisbury, MD 21804

Your membership application is not complete until your
MOPS registration fees are paid.

 

 

 


Oak Ridge MOPS is chartered through MOPS International, Inc., by
Oak Ridge Baptist Church - Salisbury, MD 21804 USA

MOPSŪ is a Registered Trademark of MOPS International, Inc.