Registering for MOPS at Northside is a snap with our simple, online registration form. Simply fill in the information below and click Submit when finished. Items marked with an asterisk (*) are required. If you'll be needing childcare to attend MOPS, don't forget to register your little ones for MOPPETS.

Thanks for your cooperation. We look forward to seeing you at MOPS!

---

Northside Baptist MOPS Registration Form 2007-2008 Welcome to MOPS! Please complete this form so that we can learn some basic information about you. Last Name*: First Name*: M.I. Home Phone*: Work Phone:   Cell Phone:     Address 1*: Address 2:   City*: State*: Zip Code*: Your Birthday (dd/mm/yy): Your email address*: Have you attended a MOPS group before? Y N If so, where? How did you hear about this MOPS group? Please list your children's names and birthdates: Name: D.O.B (dd/mm/yy): Name: D.O.B (dd/mm/yy): Name: D.O.B (dd/mm/yy): Name: D.O.B (dd/mm/yy): Name: D.O.B (dd/mm/yy): Husband's name (if applicable): Do you attend church?: Y N If so, where?: Are you willing to volunteer your time and talents to help our MOPS group in any of these areas? (check all that apply) MOPPETS (childcare): Hospitality (set up and clean up): Crafts:  |  All information submitted will be kept strictly confidential and will not be shared with any other parties for any reason.