Hello! We can't wait for you to join us!
Please fill out this short form so we can get to know you a little more.
Let's do this!
 
First things first: what's your name?
(first AND last, please!) *

 
Thanks! What's your home address?
(Because everyone loves getting something other than a bill in their mailbox)! *

(Write it all on one line; don't press enter until you're done!)
 
When's your birthday? (We promise not to tell, but you may get a birthday card from us!) *

(example: January 24, 1984)
 
If we call you (only for something really important), what number should we use? *

(Don't forget your area code!)
 
Martial Status *


 
How did you hear about MOPS?


 
What ONE thing are you looking forward to the most about MOPS?


 
Is this your first time with the Warner Robins MOPS group? *

     
 
Are you affiliated with the military? *

     
 
Almost done! Now let's get the info we need to register your little(s) so our children's staff will be ready for them!

 
Child 1: What is the child's First, Last Name, Birthday AND Age (please so we don't have to do the math!)?

 
Child 2:What is the child's First, Last Name, Birthday AND Age (please so we don't have to do the math!)?   
(If none, press enter)

 
Child 3: What is the child's First, Last Name, Birthday AND Age (please so we don't have to do the math!)?
(If none, press enter)

 
Father's Information:

 
First and Last Name:

 
Home Phone:

 
Alternate phone:

 
Who has permission to pick up your child(ren) in case of an emergency? List names and phone numbers please!

 
Any special needs, allergies, instructions? If so, list child's name and include details.

 
Last Question! For table placement purposes, do you have any additional children that are NOT listed above? If so, what are their ages?

 
Whew! {{answer_24535826}}, thank you so much for taking the time to register for the 2016/2017 Warner Robins MOPS group.

By filling out this form, we can now send you information so you can RSVP for our upcoming meetings! For more information, be sure to check out our Facebook page (www.facebook.com/warnerrobinsMOPS)

(CLICK "CONTINUE" AND THEN PRESS "REGISTER" FOR YOUR FORM TO GO THROUGH)

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