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MOPPETS Registration

Solvang, CA 93463
1825 Alamo Pintado Road
Santa Ynez Valley Presbyterian Church
Please complete information for each
child. Copy form or attach paper if

Mom’s Name: ___________________________

Mothers of Preschoolers
If you are pregnant, due date: ___________

1. Child’s Name: ________________________

Fall 2009 Session
Birthdate: _____ /_____ /_____ Sex: _____
Thursdays, 9:30am - 11:45am
Walking? ☐ Yes ☐ No
September 17th
Potty trained? ☐ Yes ☐ No October 1st
Allergies or special needs: ____________ October 15th
October 29th
______________________________________ November 12th
December 3rd
2. Child’s Name: _________________________
December 17th
Birthdate: _____ /_____ /_____ Sex: _____
Walking? ☐ Yes ☐ No
Potty trained? ☐ Yes ☐ No

Allergies or special needs: ____________


3. Child’s Name: _________________________

Birthdate: _____ /_____ /_____ Sex: _____
Walking? ☐ Yes ☐ No

Potty trained? ☐ Yes ☐ No

Allergies or special needs: ____________

Names & Birthdates of other children who

Santa Ynez Valley Presbyterian Church
1825 Alamo Pintado Road
__________________________________________ Solvang, CA 93463
Church Website:
__________________________________________ Group Website:
planet! We’ll explore together how to thrive in
What is MOPS? these relationships. MOPS Registration Form
MOPS stands for Mothers of Preschoolers and
is an international organization that exists to Tear off this portion and return with your
encourage, equip, and help women Where & when does it meet? registration fee.
become the best moms that they can be! MOPS meets at Santa Ynez Valley Presbyterian
Women who are pregnant or have young Church twice a month on Thursday mornings
children (newborn through Kindergarten) are from 9:30-11:45am. We have two sessions -- Fall Name: _____________________________________
all invited to join MOPS! (September to December) and Spring (January Address:____________________________________
to May).
MOPS is caring through: City: _______________________ Zip: ___________
• A program that is designed for all mothers
of young children and is coordinated by
Is childcare provided? Home Phone: ______________________________
the mothers themselves. We have a wonderful program for children
called MOPPETS! Those under one year of age Cell / Other Phone:_________________________
• An open, caring atmosphere where
specific needs of today's preschool mothers are cared for in a loving nursery setting. Older
are met. children are divided into age groups which
MOPS is sharing in: allows each child to interact with children of Birthdate: __________________________________
• Small discussion groups where women similar levels. Their classrooms are filled with
interact, encourage and learn from one stories, games, songs, crafts, projects, playtime ☐ Single ☐ Married
another. and a healthy snack. For your child’s benefit,
class sizes are limited, so register ASAP to Husband’s Name: __________________________
• A comfortable setting for social and
spiritual enrichment for mother and ensure that we have enough of our talented
Anniversary Date: __________________________
child(ren). and qualified volunteer caregivers.
• The enjoyment of completing a craft with Prior MOPS Member? ☐ Yes ☐ No
the opportunity for creative expression, a How much does it cost?
sense of accomplishment and deepening
friendships. There is a $50 registration fee for each session Do you attend church? ☐ Yes ☐ No
MOPS is preparing through: (Fall & Spring). Checks should be made
• Building a sense of identity and personal payable to MOPS and must accompany your If yes, where? ______________________________
worth. registration form in order to hold your place.
Scholarships may be available and are How did you hear about MOPS? ____________
• Instruction relating to womanhood,
childrearing, marriage and building a home awarded by a separate application. For a
based on biblical principles. scholarship application, please contact the
• Social and creative opportunities for the MOPS coordinator. All scholarship inquiries will
preschool child. remain confidential. Do you need scholarship information? (to be
used by MOPS only) ☐ Yes ☐ No
What happens at MOPS? How to sign-up:
At our MOPS group, you’ll have the chance Mail or bring your completed registration form
Do you have a mother, friend, or neighbor
to enjoy breakfast and socialize with other and $50 registration fee to:
who might enjoy working with MOPPETS
moms, hear from some great speakers, children as a volunteer during our MOPS
discuss important topics in mothering, Santa Ynez Valley Presbyterian Church
1825 Alamo Pintado Road meetings?
participate in creative activities...and even
enjoy a cup of coffee while it’s still hot! Solvang, CA 93463
Name: _____________________________________
This year we will be exploring the theme Phone:_____________________________________
“Together on Planet Mom.” When you Other Questions?
become a mom, all of your relationships
If you have questions, please contact Carol
change - it’s as if you landed on another
Bridgeman by phone at 688-2533