Worship In The Community Registration

    First and Last Name (required)

    Address (required)

    City, State and Zip (required)

    Your email (required)

    Name as it should appear on promo:

    Please provide us with a high-quality logo image and send it to: media@mtpleasantch.org

    Event Participants - What needs do you have?

    (please check all that apply)

    *If you selected "Other" above, Please describe your need below

    Approximate Amount of Space Needed

    Can you provide your own tent?

    Please Select Your Level of Sponsorship

    *For Local Partner / In-Kind Support Only: Please describe the type(s) of in-kind support you are donating below

    Please mail your tax exemptible donation in the form of checks or money orders to:

    Positive Influences

    Attn: WITC

    21150 Moross Rd.

    Detroit, MI 48236