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                        PRINTABLE REGISTRATION FORM

 Please Mail payment and Registration form to:

 888 East Smith Rd Medina, OH 44256

Make check or Money order payable to: Medina Assembly of God

*Payment must be received 2 Weeks after registering or 

your name will be removed* Thank You!

 ONLINE REGISTRATION

To Register Online please fill out the Registration form and Mail or Drop off payment to: 

888 EAST SMITH RD MEDINA, OH 44256 

Please Make your Check or Money Order payable to:

Medina Assembly of God