MOPS 2023 - 2024

Mother's of Preschoolers (MOPS) Registration 2023-2024

**Childcare is FULL - Registration is only open for families that do not need childcare at this time**
Email [email protected] to be added to the waitlist.

Registration Options

Online Payment ($51.50)
Payment of $51.50 in full online (a $1.50 convenience fee is added to this fee).
Mail check for $50 to Grace Baptist Church ($0.00)
Mail payment of $50 to 14242 Spriggs Road, Woodbridge, Virginia 22193

MOPS Dues Donation

Add 3% to my donation to cover credit card fees. You donation will go towards dues for another family to join MOPS.

Name

Address

Phone Number

Date of Birth

Have you attended a MOPS Group Before?

If yes, where?

Name of your Home Church

How did you hear about this MOPS Group

Child #1 Name

Child #1 Date of Birth

Will Child #1 Attend Moppets

List Any Allergies for Child #1

Child #2 Name

Child #2 Date of Birth

Will Child #2 Attend Moppets?

List Any Allergies for Child #2

Child #3 Name

Child #3 Date of Birth

Will Child #3 Attend Moppets?

List Any Allergies for Child #3

Child #4 Name

Child #4 Date of Birth

Will Child #4 Attend Moppets?

List Any Allergies for Child #4

Child #5 Name

Child #5 Date of Birth

Will Child #5 Attend Moppets

List Any Allergies for Child #5

Child #6 Name

Child #6 Date of Birth

Will Child #6 Attend Moppets

List Any Allergies for Child #6

Child #7 Name

Child #7 Date of Birth

List Any Allergies for Child #7

Will Child #7 Attend Moppets

Child #8 Name

Child #8 Date of Birth

Will Child #8 Attend Moppets

List Any Allergies for Child #8

I understand that I will be required to volunteer in Moppets as the need arises*

Running Total

$0.00

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

This page is secured with 256 bit encryption

Event Registration Software by RegFox