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
EVENT / ACTIVITY 
Please let us know how you heard about this event.
ANNUAL HARVEST PARTY

Pre-registration is requested but not required.
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A parent / guardians signature on the registration form will be required at the event.

 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.

EVENT / ACTIVITY INFORMATION
Events or activities (listed on the left side of this page) that have the $ (dollar sign) attached may require the purchase of books or a fee for participation.
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
Harvest Party (October 21)
Women's Ministries Meeting
Without Rival Bible Study (for women ) ($)
Prodigal God Bible Study ($)
Daring Faith Bible Study ($)
Newspaper
Poster
Website
Facebook
Church Announcement
Postcard (mailed to you)
Invitation Card
Radio
Church Sign
Personal Invitation