Peachtree MOPS Member Registration (Close
Step 1
* = required field
General Information
*Nursery capacity for the 2018-2019 MOPS year is currently FULL for children UNDER 12 months.

*First Name:    *Last Name:   *Birth:
Spouse Name:   Child(ren) Name(s) & Age(s):
*Address:
*City:    *State:    *Zip:
*Email:   *Cell Phone:
*Are you registering for Tuesday morning MOPS or Wednesday evening MOPS?
*Are you a new member or a returning member of Peachtree MOPS?
Are you actively involved in a church?