North Gwinnett MOPS Registration

Welcome to NG MOPS! We are excited to have you join us. Please complete this form for registration. Your information is kept private and used for group membership only. While you will pay dues twice a year, this form will only be completed once per year. After your registration and dues have been submitted, please request to join our North Gwinnett MOPS facebook group. This is our main method of communication.
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Spouse Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you attended a MOPS Group Before {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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YesNo NoYes
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Kids

Please list your child(ren) below and note the child(ren) that will be attending MOPS Kids. Please note any special needs or allergies.

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Attending MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dues & Payment

Please select one option. You will be paying dues twice per year, in the fall and spring. Prices reflect $10 discount.

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$80 per semester (includes childcare during meetings)

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$60 per semester (does not include childcare during meetings)

PayPal Link to send Amount Due: https://www.paypal.me/NGMOPS

Is your balance paid in full through PayPal? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Include your name and "Fall 2019 Dues" in the memo box on Paypal.

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Have you requested to join our FB group? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Our facebook group is called: North Gwinnett MOPS.

North Gwinnett MOPS Registration

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Your Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Spouse Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you attended a MOPS Group Before {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If YES, where did you attend MOPS? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of your home church? (If applicable) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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How did you hear about North Gwinnett MOPS? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you enrolling children in MOPS Kids? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Kids

Please list your child(ren) below and note the child(ren) that will be attending MOPS Kids. Please note any special needs or allergies.

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Child {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Age {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Attending MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Special Needs or Allergies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like to serve at NG MOPS in a particular area? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dues & Payment

Dues for Fall 2019 with MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dues for Fall 2019 without MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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PayPal Link to send Amount Due: https://www.paypal.me/NGMOPS

Is your balance paid in full through PayPal? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you requested to join our FB group? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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North Gwinnett MOPS Registration

Welcome to NG MOPS! We are excited to have you join us. Please complete this form for registration. Your information is kept private and used for group membership only. While you will pay dues twice a year, this form will only be completed once per year. After your registration and dues have been submitted, please request to join our North Gwinnett MOPS facebook group. This is our main method of communication.
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Your Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Spouse Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is your name on Facebook? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you attended a MOPS Group Before {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If YES, where did you attend MOPS? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of your home church? (If applicable) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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How did you hear about North Gwinnett MOPS? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you enrolling children in MOPS Kids? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }

Kids

Please list your child(ren) below and note the child(ren) that will be attending MOPS Kids. Please note any special needs or allergies.

Untitled

Child {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Age {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Attending MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Special Needs or Allergies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like to serve at NG MOPS in a particular area? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dues & Payment

Dues for Fall 2019 with MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dues for Fall 2019 without MOPS Kids {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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PayPal Link to send Amount Due: https://www.paypal.me/NGMOPS

Is your balance paid in full through PayPal? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you requested to join our FB group? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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