Better Together Weekend Registration
July 18th - 20th, 2025
Joliet, IL 
More info visit the website at www.jesushotline.org or call (248)255-6964
Sign in to Google to save your progress. Learn more
Name *
Phone Number *
Names of attendees
Cost $85 Adults, $45 Children 6-11, Children under 5 free
 *
Are any of the attendees children? *
Required
If so, please confirm their names and ages
Please confirm dates you will attend. If you are not attending all 3 dates, there is a $30 fee for each day. *
Required
Are you riding on the bus from Detroit, MI to Joliet, IL? Cost $60 per person *
Required
If so, please confirm how many riders
Clear selection
***Please register now
I understand that with this registration there is a registration fee of $85 for adults and $45 for children 6-11 years old.  I further understand that these fees should be paid through Zelle (248)255-6964 or Cash app $shareg or Apple pay (248)255-6964 or by check payable to Empowerment Temple (mailed to 20037 Cooley Detroit, MI 48219)
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms