Women's Ministry - MOPS: Mothers of Preschoolers

 

Online Registration

Registration is open for Session 1 of 2009-2010

If you register and wish to put a child into childcare, the child may be put on a waiting list. In this case, you are responsible for making alternative arrangements for his/her care during the meeting time. We apologize for this inconvenience, but it is important that we keep our child-teacher ratios at appropriate levels to keep our children safe.

We are having some technical issues with online registration, to register, please print a copy of the REGISTRATION FORM and mail it in to the address below or drop it off to the church office during regular business hours (9 a.m. - 4 p.m.). Thank you for your patience as we resolve these issues.

Please note that you will need to send your payment in - you can mail it to:

MOPS of First Free Church
Attn: Finance Coordinator
2223 N. Mulford Road
Rockford, IL 61107

Thank you!

 

ONLINE REGISTRATION NOT AVAILABLE AT THIS TIME DUE TO TECHNICAL ISSUES.
Please download the form to complete and hand it in. Thank you!

I want to register for MOPS Session 1 2009-2010
September 2009 - January 2010

Mom's Name (First and Last Names, please):       

Mom's Birth date    Month:   Day:   Year:  

Address:

City:   State:   Zip Code:

Home Phone:   Cell Phone:

E-mail Address:

Home Church:

Are you a returning MOPS mom from 2008-2009?

In what areas would you be interested in helping? (select as many that apply):
 

CHILDCARE: There may be a waiting list for childcare - if so, you will be notified immediately.

Do you need childcare? If no, skip down to "Session #1 Fees"

If yes, please complete the following information for your children who will be in childcare:

Child 1 Name:   Birthdate Month:   Day:   Year: Allergies?   Boy/Girl?

Child 2 Name:   Birthdate Month:   Day:   Year: Allergies?   Boy/Girl?

Child 3 Name:   Birthdate Month:   Day:   Year: Allergies?   Boy/Girl?

Child 4 Name:   Birthdate Month:   Day:   Year: Allergies?   Boy/Girl?

Child 5 Name:   Birthdate Month:   Day:   Year: Allergies?   Boy/Girl?

If your child has allergies, please indicate which child and their allergies below:

Names of adults who can pick up your child(ren)?

Names of other children/siblings NOT in MOPS childcare:

SESSION #1 FEES:

Mom's meeting fees: 9 meetings for Session #1 @ $4.00 per meeting
Childcare fees: 9 meetings for Session #1 @ $3.00 per child per meeting (max to pay for is four children)
MOPS International Registration Fee: $23.95 ANNUAL fee (due by second meeting)

Mom's Meeting Fees:

Childcare Fees:

MOPS International Registration Fee:

IMPORTANT NOTES:

  • If you are planning to attend more than 2 meetings this session, you must register for the ENTIRE session to reserve a childcare spot.

  • 50% Total Amount due at registration, balance due by first meeting unless payment plan arranged.

  • Fees are non-refundable.

  • If you are applying for a scholarship, you MUST print the form and send it in for it to be considered.

  • You must confirm your registration below by clicking on the box below in order for your registration to be accepted.

By checking this box, I understand and agree that completing and sending this Registration Form acknowledges a commitment to make all required payments as selected above.

 

 
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