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MOPS Registration Form

We would love to have you join our MOPS Ministry. Please complete the form below.

Parent's Name:: *

First Name:: *

Last Name:: *

Middle Initial::

Address::

City::

State::

Zip::

Home Phone Number:: *

Cell Phone Number::

Email:: *

Birthday: :

Attend MOPS Before?:

Where did you attend?:

Are you registered with MOPS International?:

Do you attend church?:

If so, where do you attend church?:

How did you hear about this MOPS group?:

Will You Be Needing Childcare?: *

Yes

Please enter your children's information even if you do not require childcare.

First Childs Name?:

Allergy Info:

Childs DOB::

Second Childs Name?:

Allergy Info:

Childs DOB::

Third Childs Name?:

Allergy Info:

Childs DOB::

Fourth Childs Name?:

Allergy Info:

Childs DOB::

Table seating request::

Leadership position::

Comments::

This Week's Sermon

"Modeling Mom"

by Dr. Chad Keck - AM Service | Sun, 05/13/2012

This Week's Bulletin

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Location & Directions

Weekly Meeting Times

Sunday
Traditional Worship: 9:30 am
Contemporary Worship: 11:00 am
Blended Worship: 6:00 pm

Wednesday
Bible Study: 6:30 pm

Contact Us

937-429-1671
contact@fbckettering.org
First Baptist Church of Kettering
3939 Swigart Road
Dayton, OH 45440