Chandler Christian Church -- MOPS Registration

MOPs Registration

Online Payment Options

Single Semester Payment
Full Year Payment

Fields in bold are required.

Contact Information

Your Name:

Address:

City:

Zip:

Phone:

Alt. Phone:

Email Address:

Which group are you going to attend?

Monday Evening
Monday Evening (TEEN Mops) Thursday Morning

Have you attended a MOPS group before?

Yes No

If so, where?

Do you attend a church?

Yes No

If so, where?

Please list only the names and birthdates of your children requiring childcare:

Mom's Birthdate (mm/dd):