Waitlist for 2022-2023 MOPS Registration

Welcome to MOPS!

At this time, childcare for MOPS is full. You can register below on our waitlist (no payment necessary) and we will let you know if & when space becomes available. If you do NOT need childcare during the year, or you have an infant you can hold during the meetings, you are welcome to register and pay below. Thank you for your patience!

In the fall, FPC Tacoma MOPS will meet one Thursday a month from 9:15am-11:15am September through December (please contact us for dates). In January of 2023, we will begin meeting on both the 2nd & 4th Thursdays.

Please complete this form to register you and your children. You can enroll up to three children with one form. If you have more than three children to enroll, please email mops@fpctacoma.org to register your additional children. In the event that childcare is full, a wait-list will be created.

The yearly registration fee is $95 and payment can be made by credit card through this form or by cash/check in the FPC office. Your registration is not complete until payment has been received.

Mother's Name

Mother's Email

This address will receive a confirmation email

Mother's Home Phone

Mother's Cell Phone

Mother's Address

Mother's Birthday

Have you attended a MOPS group before?

Yes No

If you have attended a MOPS group before, tell us where:

How did you hear about the MOPS program at First Presbyterian Church Tacoma

Home Church (if applicable)

Are you interested in serving on the MOPS Leadership Team? Yes! Not at this time. Maybe, but I need more information.

Would you like to be seated with a friend? Tell us who:

Childcare Information

Do you need childcare in order to attend MOPs for the 2022-2023 year?

Yes, I need childcare No, I do not need childcare at this time I will only need occational childcare, not at every meeting.

If you answered

If you do not need childcare, you can skip to the PAYMENT section below!

Childcare Emergency Pick-Up Information

Father's Name

Father's Phone

Relative's Name

Relative's Phone

Other Emergency Pick-Up Name

Other Emergency Pick-Up Phone

Additional Emergency Information

Doctor's Name

Doctor's Address

Doctor's Phone

Child #1 Information

Name of Child #1

Birthdate of Child #1

Age of Child #1 (Enter the age of child #1 as of Sept. 1, 2021)

Allergies of Child #1

Is it OK to give this child a snack? Yes No

Cry time? How many minutes should we allow your child to cry before we should come get you?

Class Request. Please select the class you think most accurately fits your child's development, and we will do our best to honor your request. However, if one classroom is at-capacity, we will need to do some shuffling and will let you know Newborns-1.5 years old (babies through early walkers) 1.5-2 year old (confident walker, can engage in independent play) 2-4 year old (preschool and potty trained) 4 year old - Kindergarten

Special Instructions? Do you have any special instructions for us or additional information we need to know about this child?

Child #2 Information

Name of Child #2

Birthdate of Child #2

Age of Child #2 (Enter the age of child #2 as of Sept. 1, 2021)

Allergies of Child #2

Is it OK to give this child a snack Yes No

Cry time? How many minutes should we allow your child to cry before we should come get you?

Special Instructions? Do you have any special instructions for us or additional information we need to know about this child?

Child #3 Information

Name of Child #3

Birthdate of Child #3

Age of Child #3 (Enter the age of child #3 as of Sept. 1, 2021)

Allergies of Child #3

Is it OK to give this child a snack? Yes No

Cry time? How many minutes should we allow your child to cry before we should come get you?

Special Instructions? Do you have any special instructions for us or additional information we need to know about this child?

Payment and Submission

*Select Waitlist if you are in need of childcare & do not pay at this time. Payment is by credit card using Breeze. Your registration is not complete until payment has been received. If you need to talk to someone about setting up a payment plan or to apply for a partial scholarship, please submit this form after paying only the Group Fee Deposit and contact mops@fpctacoma.org within 1 week. (If this pertains to you, note that the Early Bird discount will not apply.) We will place a temporary hold on your spot until we work out payment.

Payments

Donation
Please consider making a tax-deductible donation to help bring moms to our group. We want everyone to be able to participate, and your donation helps reduce the amount of fundraising we have to do!

- $10 could help with fun prizes and giveaways, or to thank a speaker for sharing their wisdom.
- $25 could pay one childcare worker to give you and other mamas a break during one meeting.
- $65 could go towards scholarships for moms who need financial assistance.
- $100 could go towards supplies for a fun craft or activity for our group of 60 moms.
- $250 could go towards a beautifully catered breakfast for our Easter meeting.

Yes! I would like to donate to further the efforts of MOPS!

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Waitlist for 2022-2023 MOPS Registration

Description

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