@
Trinity
2008-2009
Pre-Registration Form
Name
___________________________________________________________________
Address
_________________________________________________________________
City
______________________________________ Zip
__________________________
Phone
________________________________ Cell
_______________________________
Email:
____________________________________________________________________
Please
list all children & indicate whether if you intend to
enroll them in MOPPETS next year:
___________________________________
DOB: ________________ MOPPETS? Y N
___________________________________
DOB: ________________ MOPPETS? Y N
___________________________________
DOB: ________________ MOPPETS? Y N
___________________________________
DOB: ________________ MOPPETS? Y N
Would
you like to receive updates and information throughout the
summer? Yes No
Would
you be interested in helping serve in some capacity next
year? Yes No
_____
Crafts (ideas, preparation)
_____ Publicity (newsletter contributor, photos)
_____ Hospitality (decorating, breakfast, etc.)
_____ Outside Activities
_____ Other
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2008 – 2009 MOPS Year
Regular
Rates:
$23.95
MOPS International
$45
Dues ($5 per
mtg x’s 9 mtgs = $45)
$68.95 Total Costs
Pre-Payment
Rates :
**These are good until July 1, 2008**
After
7/1 MOPS International Rates go up to $23.95
OPTION 1: $20 now to MOPS International
Save $10
in the fall when you pay dues.
OPTION 2: $50 MOPS International + Dues
For
08-09 MOPS Year – save $15
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For
MOPS purposes only: Amount
Paid (explain):
_____________________________________________________
Finance: ___________________ Steering:
______________________
MOPPETS: ________________________