Fill out the form below to reserve seats for you, your family, or your group. Please do not submit more than one registration per group or person.

We will email Group Leaders (you) with additional instructions and a Group Leader Number necessary to submit your Group Roster.  Group Rosters are due by December 1, 2018.

 

 
 
What is the name of your church or organization? Type "family" or "individual" if you are not with a group.
How many seats should we reserve for you?
Group Address *
Group Address
Tell us where you are coming from.
Group Leader Name *
Group Leader Name
This will be your primary contact for us.
Group Leader Phone Number *
Group Leader Phone Number
We will only call you if you aren't responding to email.
Text Messages
Please allow us to contact you with text messaging, if you'd like.
Event Attendance *
Please select "All Power Sessions" or select only the specific Power Sessions your group will attend. For the Anniversary Dinner, you will be contacted to verify headcount and payment for tickets ($15 each).
Promo Pac *
Would you like a free promotional package to help promote the conference?
Let us know if you have any special requests or questions about the conference.
 
 
 
If you need to make changes to a registration you have previously submitted, please do not re-submit this form. Instead, please send us an email at info@joshuarevolution.org.