fcfmops.com - Registration

Welcome to MOPS! Please complete this form so that we can learn some basic information about you.

Note: If you are uncomfortable with using this online registration form, you may download a printable copy of the form, and fill it out at your convenience. (You may also need to install Adobe Acrobat to open it.)

Contact Information:

Last Name:

First Name:

Home Phone:

Cell Phone:

Primary E-Mail:

Secondary E-Mail:

Address 1:

Address 2:

City:

State: Zip:

MOPS Information:

Have you attended a MOPS group before? Yes No

If so, where?:

How did you hear about this MOPS group?

Family Information:

Your birthday:

Husband's name: (if applicable)

Please list your children’s names and birth dates:

Name:		Birthday:
Name:		Birthday:
Name:		Birthday:
Name:		Birthday:
Name:		Birthday:
Name:		Birthday:

Committee Choices:

This year we are having every MOPS mom sign up for a committee to be a part of. Please list your 1st, 2nd, and 3rd choices below: (they will be assigned on a 1st come 1st served basis)

	Fundraising (Helping on a team to prepare for fundraising events)
	Wiggles & Giggles / MOPPETS (preparing snack, singing, helping with kids)
	MOPS registration (checking people in, greeting people)
	Crafts (preparing crafts, demonstrating craft ideas)
	Extra Activities (helping to set up and plan activities)
	Hospitality (set up, clean up, putting food out)