MOPS Registration

Please complete the form below to register. (*) = Required Field

*First Name

*Last Name

*Your Birth Month:

*Your Birth Day:

Spouse Name

Child(ren) Name(s) & Age(s)

*Address

Apt/Suite/Other

*City

State

*Zip

*Email

*Cell Phone

Are you new to Atlanta? YesNo

Are you currently pregnant or do you have a baby under 6 months? YesNo

NOTICE

Online registration for AM Peachtree MOPS is currently closed. If you would like to be added to the waitlist, please email us at .

*Are you registering for Tuesday morning MOPS or Wednesday evening MOPS? Tuesday morning MOPSWednesday evening MOPS

*Are you a new member or a returning member of Peachtree MOPS? NewReturning

Are you actively involved in a church?

Peachtree Presbyterian
Other: Please indicate below

Not actively involved at this time