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• • Address
    
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• • Email *
    
    
• • Home Phone
    
    
• • Alternate Phone
    
    
• • Child One Name *
    
    
• • Child One Birthdate
    
    
• • Child Two Name
    
    
• • Child Two Birthdate
    
    
• • Child Three Name
    
    
• • Child Three Birthdate
    
    
• • Child Four Name
    
    
• • Child Four Birthdate
    
    
• • Husband's name (if applicable):
    
    
• • Have you ever attended a MOPS group before?
    Yes
    No
    
• • Are you registered for MOPS International Membership?
    Yes
    No
    
• • Do you attend a church?
    Yes
    No
    
• • If yes, where?
    
    
• • How did you hear about this MOPS group?
    
    
• • Everyone has God-given talents and abilities. In what area(s) might you like to serve? Check all tha
    Childcare: Moppets program (ages 3-5 curriculum based) and nursery care (infants - age 3)
    Mentor Moms: Older women of faith (whose children have grown) mentor younger moms by listening, encouraging and offering Godly perspectives on 'doing life' within the context of the small group & larger group.
    Publicity: Publicizes MOPS group to Corinth church and the community and facilitates communication within the MOPS group through newsletter and other tools.
    Technical Support: Uses Power Point and facilitates the use of video presentations in place of a live presentation. Might also work with Publicity on candid photography during meetings.
    Hospitality Team: Creates a welcoming atmosphere, organizes refreshments (brought by discussion groups), plans special events and assists with special needs.
    Finance Team: Manages the group's finances (via computer program), membership and budget. Keeps necessary data base of members.
    Arts & Crafts: Plans and organizes crafts for moms to do at the meetings.
    Care Team: Extends help and expresses concern to moms who are going through difficulties.
    
• • Other Gifts or Talents?
    
    
• • Do you know someone who might be willing to help with childcare during meetings?
    Yes
    No
    
• • If yes, Name:
    
    
• • Relationship to this person?
    
    
• • Additional Comments?
    
    

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