CS – Form Page – Together in Holiness – Shelby Township, MI – St. John Paul II Foundation

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TOGETHER IN HOLINESS
SHELBY TOWNSHIP, MI

Registration is now open for Together in Holiness in the Archdiocese of Detroit!
For questions, please email Conference Coordinator Cameron Kelly at [email protected].

Exhibitor Information:
Exhibitors are subject to pre-approval. Please email Conference Coordinator Cameron Kelly at [email protected] before completing this form.

Scholarships
If you need assistance with the cost of the conference, we encourage you to apply for a partial or full scholarship (click here); if you feel called to contribute to our scholarship fund, you can do so at the time of registration.

Refund Information:
If you are unable to attend the conference, after you have purchased your ticket, you may choose to transfer your registration fees to a scholarship couple in need or request a refund.

All refunds must be requested 2 weeks prior to the conference. The last day to request a refund is Friday, September 27. All refund requests made on or after September 28 will not be accepted but the funds will automatically be transferred to a scholarship couple in need.

"*" indicates required fields

Please select your ticket type.*

Pre-approval for exhibitor tables is required and space is limited. Please email [email protected] prior to completing this form.

Exhibitor Approval Code*

Please enter the code you received from the conference coordinator upon approval.

General Information

Husband's Information

Representative #1 Information

Name*

Prefix First Last

Email Address*

Pregnancy

I am pregnant and cannot have cold deli meat.

**Please contact the conference coordinator at [email protected] to discuss alternative meal options.**

Meal Choice*

Ticket Cost:

Price:

Wife's Information

Representative #2 Information

Name*

Prefix First Last

Email Address*

Pregnancy

I am pregnant and cannot have cold deli meat.

**Please contact the conference coordinator at [email protected] to discuss alternative meal options.**

Meal Choice*

How long have you been married?*

What is the name of your ministry or organization?*

Link to your organization's website, Facebook event, etc.:*

If none, please put "N/A"

Do you have a linen for your table?*

We are able to provide a white linen for you if needed.

Ticket Cost:

Price:

Ticket Cost:

Price:

Ticket Cost:

Price:

Do you have children that need childcare?*

How many need on-site childcare?*

Contact Phone for Childcare*

Please list the ages of ALL children for Childcare Wait List

These children will be placed on the childcare wait list. The conference coordinator will reach out to you if spots become available.

Child 1 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 2 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 3 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 4 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 5 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Child 6 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Child 7 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Child 8 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Child 9 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Child 10 Information

Name*

First Last

Child's Age*

Child's Grade Level*

Does this child have any allergies or special needs?*

If none, please put N/A

Which diocese do you attend Mass in?*

Archdiocese of Detroit

Other

Which parish do you attend?*

Diocese and Parish:*

How did you hear about the conference?*

St. John Paul II Foundation Email Communications

Parish Bulletin

Mass Announcement

Promotional Poster or Postcard

Facebook

Catholic School

Diocesan Communications (Flocknote, Newspaper, etc.)

Family or Friend

Other

Family or Friend:

Other:

Catholic School:

Would you be interested in helping us spread the word about the conference to family and friends?*

Would you be interested in serving as a day-of volunteer for the conference?*

Billing Information

Would you like to make a donation to sponsor scholarships for Together in Holiness?*

Donation

Price:

Donation

Price:

Donation

Price:

Donation Amount:

Billing Email*

Phone Number*

Address*

Street Address Address Line 2 City State ZIP Code

Do you have a promo code?*

Yes

No

Promo Code

Total Amount Due:

My total is $0.00.

Yes

If no, leave unchecked.

Credit Card

Card Details

Cardholder Name

Δ

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