Night to Shine Participant Registration Form

    The Night to Shine prom event is open to all people with special needs age 14 and over.

    Guest Information






    *Gender

    T-shirt size (adult sizes): SMLXLXXLXXXL

    Event Responsible Person:
    *Relationship to guest (select one)




    Media Rights Release Click here to read the release and then check the box if you agree.

    Accident Waiver and Release of Liability Click here to read the release and then check the box if you agree.

    Care Provider Agency Information - If Applicable








    Royal Treatment

    Night to Shine is a night for the churches to shine, the volunteers to shine, our honored guests to shine, and most importantly, God to shine!

     

     

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