Christus Victor

Making Christ Known

We are an Evangelical Lutheran Church of America (ELCA) congregation growing in the likeness of Christ by:

Worshiping, praying, and studying God’s word;
Being together with other people; and
Acting in faith through words and deeds both inside and outside our church walls.

2016-17 MOPS INTERNATIONAL REGISTRATION FORM

  • $24.95 --- MOPS Membership Fee(you will receive a welcome package from MOPS International)
  • $50.05 --- Group Fee
  • $75.00 --- TOTAL FEES
Name *
Name
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Address
Address
1st Child's Name *
1st Child's Name
1st Child's Date of Birth *
1st Child's Date of Birth
2nd Child's Name
2nd Child's Name
2nd Child's Date of Birth
2nd Child's Date of Birth
3rd Child's Name
3rd Child's Name
3rd Child's Date of Birth
3rd Child's Date of Birth
4th Child's Name
4th Child's Name
4th Child's Date of Birth
4th Child's Date of Birth
Husband's Name (if applicable)
Husband's Name (if applicable)