Vista Grande Baptist Church: MOPS: Mops Pre-registration Form


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Mops Pre-registration Form To assist with placement, please complete this pre-registration form. On your first day, you will need to complete the paperwork and pay the $23.95 registration fee. * Required Errors Child's First Name and Last Name * Child's Date of Birth * 2nd Child's name (if applicable) 2nd Child's DOB (if applicable) 3rd Child's name (if applicable) 3rd Child's DOB (if applicable) Mother's First Name and Last Name * Address * City, State, Zip * Home Phone * E-Mail address Have you attended a MOPS group before? Yes No If so, where? Any other questions or comments? Last Published: August 12, 2010 10:12 AM
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Vista Grande Baptist Church | 5680 Stetson Hills Blvd. | Colorado Springs, CO 80917
719-598-2139 Phone | 719-548-9597 Fax | info@vgbc.org

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