EVENT REGISTRATION
Midway Assembly of God
NAME (first and last name)
Use this page to register for events being held at Midway Assembly of God.
All registration MUST BE COMPLETED at least 24 hours before any event.
Miss the deadline? Call us at 302-645-9643 to Register
ADDRESS (Full address is required)
PHONE NUMBERS (required)
Does the registrant have any food allergies?

Home Church
Home Phone
Upon completion, please click on the "submit" button 
PLEASE CALL US AT 302-645-9643 TO SEE IF THERE'S STILL ROOM FOR YOU.
EVENT / ACTIVITY 
Please let us know how you heard about this event.
EVENT REGISTRATION INFORMATION
VACATION BIBLE SCHOOL REGISTRATION IS ALMOST FULL
PLEASE CALL US AT 302-645-9643 TO SEE IF THERE'S STILL ROOM FOR YOU.

EVENT / ACTIVITY INFORMATION
Please see our Vacation Bible School page for details about participation and activities associated with our Bible School.
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Please be considerate of others. Registering for an event and then not showing up creates problems for us and for others.   ​

 The staff of Midway Assembly of God is instructed and trained in the use of all equipment and safety procedures. By registering for certain events the parent / guardian recognizes that some events involve physical activity (i.e. Bounce houses, Obstacle Courses, Competitions) which could result in injury. All participants will be required to follow safe participation guidelines and instructions provided by our staff.




Cell Phone
Child (3 years old)
Child (4 years old)
Child (5 years old)
Child (6 years old)
Child (7 years old)
Child (8 years old)
Child (9 years old)
Child (10 years old)
Child (11 years old)
Youth (12 years old)
Youth (13 years old)
Youth (14 and up)
Adult
YES
NO
I DON'T KNOW
Vacation Bible School
Women's Ministries Meeting
Men's Monthly Breakfast
Small Group Bible Study
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Poster
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Postcard (mailed to you)
Invitation Card
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