Rootstown MOPS |

Conference registration

Thank you for registering for the 2008 Rootstown MOPS Moms' Conference. Because each registrant must select her own break-out sessions, online registrations must be processed individually. Break-out sessions are offered on a first-come, first-served basis; therefore, we ask you to select your top three choices. (Each registrant will attend two sessions.) You will be notified in your confirmation letter which sessions you will be attending.

This form is for individual registration. For group registration (and more information on group rates), please call
330-805-6721.

Please note that all contact information will be kept private, and will be used only to communicate about the Rootstown MOPS Moms' Conference.

* indicates required field.

Ticket Price: $35

Registrant Information

*First Name: *Last Name: *Street address 1: Street Address 2: *City: *State: *ZIP: Phone (with area code): E-mail Address: How did you hear about us?

Break-out Sessions
(Please select your top three choices.)

Click here for more information on the break-out sessions.

*First Choice: *Second Choice: *Third Choice: Special Requests (If you are registering with a friend and would like to make sure you are in the same break-out sessions, please indicate that here):

Massage!

If you think you may be interested in getting a massage at the conference for just $5, please mark the box below. You are not committing to anything at this time--it just gives us an idea of how many therapists to have on-hand.

Pamper me! I'd love a massage!
Click here to cancel.