2018-19 Salt Spring MOPS

REGISTRATION FORM

WELCOME ! PLEASE COMPLETE THIS FORM SO WE CAN LEARN MORE ABOUT YOU.

CONTACT INFO



MOPS INFO

Have you attended a MOPS group before? YesNo
If yes, where?
Home Church (if applicable):
How did you hear about this MOPS group?

FAMILY INFO
Please list your child(ren)'s Name(s) and Birthdate(s):







Partner's Name (if applicable):

MOPS Membership Fee......................................$42.50
--Includes a membership kit, weekly emails and the option for weekly texts.
Group Fee................................................$12.50
TOTAL ...................................................$55.00