2018-2019 MOPS/MOMSnext Membership Application Form

2018-2019 MOPS/MOMSnext Registration Form

MOPS stands for Mother's of Preschoolers. MOPS is a moms group for expectant mothers and moms with children from birth through kindergarten. At our MOPS meetings you will find a group of moms with a desire to love their children well and have an encouraging and fun community along the way. We have practical teaching through speakers, demonstrations and videos. We also have a variety of craft days, community service projects days, food and time to relax at our MOPS meetings. But more importantly you will be surrounded by a beautiful group of women and have honest conversations with other moms who understand the joys and challenges of motherhood. We have Moms Nights Out throughout the MOPS year which are always a nice way to retreat with good company! In MOPS you will find new and sweet friendships for you and your children in this very special season of parenting.

MOMsNEXT is for moms who have kids in school and would not require childcare, and that would still like the community of a MOPS group and partake in all the fun as mentioned above. We meet along with the MOPS group.

Our MOPS/MOMSnext group meets at Christ Presbyterian Church in Goodyear, AZ on the 1st and 3rd Thursdays during the months of September - May.

Please complete all questions and review the payment information below. If you have questions, please contact Finance Coordinator, Mylisha Consalvo, at cpcmopsfinance@gmail.com or 623-332-1740.

General Membership Information

Application for:

MOPS MOMSnext

Name *

First Last

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Neighborhood

E-mail *

Mobile Phone *

- Area Code Phone Number

Home Phone

- Area Code Phone Number

Anniversary

- Month - Day Year

Birthdate

- Month - Day Year

Husband's Name

Do you attend church?

Yes No

If yes, where do you attend?

Do your child(ren) attend school?

Yes No

If yes, where do they attend?

Do you work?

Yes No

If yes, where do you work?

If you work, how many hrs/week?

Are you pregnant?

Yes No

If yes, when is your due date?

- Month - Day Year

Please list ALL of your children.

	Full Name	Date of Birth	Age on Sept 1st	Allergies	Childcare Needed Y/N	School (if applicable)
1
2
3
4
5
6
7
8
9

I would like to:

Lead a 5-10 minute opening devotion Share my testimony with the group

I am interested in being a part of the following team(s):

Creative Activities Fundraising Discussion Group Finance Hospitality MOPS KIDS Room Mom Publicity Service Projects Social Activities

Photo Permission of myself and/or my children: *

I give permission for MOPS/MOMSnext to use photos/videos of myself and my children I give permission for MOPS/MOMSnext to use photos/videos of myself I give permission for MOPS/MOMSnext to use photos/videos of my children I do not give permission for MOPS/MOMSnext to use photos/videos of myself or my children

Statement of Payment Agreement *

I have read and understand the conditions of payment listed above. I agree to make payment via PayPal upon receipt of invoice.

Payment Preference *

MOPS Full Year - $107.50 MOPS Semester - $53.75 MOMSnext Full Year - $82.50 MOMSnext Semester - $41.25

Scholarship Info

Please send me information on a membership fee scholarship, due to my current financial need.

MOPS KIDS Childcare Information

MOPS/MOMSnext Participation

Membership Fee & Payment Information