Night to Shine 2020 Guest Registration

Night to Shine 2020 Guest Registration
We are excited to have you attend Night to Shine 2020! The event will be held on Friday, February, 7th from 6-9 pm at Oak Mountain Presbyterian Church in Birmingham, AL. The night includes a red carpet walk, dinner, dancing, karaoke, limo rides and more! Each guest will be assigned a buddy for the evening. If you would like a family member, friend or caregiver to be the guest's buddy, that individual MUST visit our website and complete the registration for a volunteer, complete a background check and attend one of our three training sessions. To make sure each guest has the night of their life, please take a moment to fill out the registration form completely, giving us as much information as you can about the guest's needs. If you have any questions, please email us at ntsbirmingham@gmail.com.
Guest Name *

First Name Last Name
Guest name as it should appear on nametag
Age *
The Tim Tebow Foundation requires that all guests MUST be 14 years of age or older
Date of Birth *

Month Day Year
Date Date Picker Icon
Sex *

Female Male
Upload a picture (not required, but it will help our team to know you better!)

Browse Files
(jpeg or pdf) Cancel of

Parent and Caregiver Information
Parent/Caregiver Name *

First Name Last Name
Best Contact Email (for event information) *

Confirmation Email
Best Contact Phone Number *

Area Code Phone Number

Parent/Caregiver Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parents/Caregivers-we have a very special area just for YOU!! You are welcome to stay and enjoy some time to yourself or with your spouse! We will have a catered dinner, live music, complimentary beauty services, give-a-ways and live feeds in each area for watching the prom fesivities.
Will parent/caregiver be staying onsite during Night to Shine and attending the Parent/Caregiver room? *

Yes, I/We will be staying No, I/We will not be staying
How many guests will be attending the Parent/Caregiver room with your party? *
Emergency Contact Name the night of the event *

First Name Last Name
Emergency Phone Number the night of the event *

Area Code Phone Number
Will this emergency contact be picking the guest up at the conclusion of the event? *

Yes No
If not, please list the name of person that will be picking up the guest. *

First Name Last Name
Please share with us any other important info regarding pick up and/or emergency contacts?

Group Care Information
Will guest be arriving as part of a group that will require group check in? *

Yes No
If yes, please enter the group in which the guest will be included *
Name of group leader

First Name Last Name
Contact email for the group leader that will be on-site the evening of Night to Shine
example@example.com
Will the guest have a caregiver as a pre-assigned buddy coming with them from the organization? *

Yes No
If yes, please enter the requested buddy's name *

First Name Last Name

The Fun Stuff!
T-Shirt Size *

XS S M L XL XXL XXXL
We will have a karaoke room at Night to Shine! Let us know your favorite songs to belt out so we can make sure we have it ready for you!
As the guest walks down the red carpet to enter the prom, our emcee will read out a "fun fact" about the guest! What fun fact do you want people to know about your honored guest? *
We will be offering complimentary opportunities for the ladies to have their hair and makeup done prior to the event. Please indicate if you are interested in using this service and would like more information. *

Yes, please email me! No, thank you.

Guest Media Release
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Media Release: By signing below, and for the good and valuable consideration of participating in an event hosted by Oak Mountain Presbyterian Church, and sponsored in part by or associated with the Tim Tebow Foundation, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered in Florida and Oak Mountain Presbyterian Church (“CHURCH”), a VA nonprofit corporation, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, my actions, physical likeness, biographical information, and/or voice. Additionally, I hereby grant to TTF and CHURCH, without royalty or other compensation now or in the future, all rights of every kind and character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional recordings I might provide to TTF and CHURCH, and to any benefits inuring to TTF and CHURCH as a result of its use of any of the foregoing recordings. Among other things, TTF and CHURCH may, but are not required to, copy or reproduce the recording, edit or modify it, incorporate it into another work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and CHURCH, for the advancement of TTF and CHURCH’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and CHURCH and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and CHURCH, its directors, officers, employees, volunteers, and independent contractors, from any and all claims or damages, including but not limited to defamation or violation of rights of privacy or publicity, arising from or associated with the recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. I am of full age and have the right to contract in my own name and for above registered participant.
Parental/Caregiver Consent: To confirm you agree to above, please type your name here: (First Name and Last Name) *

First Name Last Name
Parent/Guardian Signature *

Clear
Today's Date *

Month Day Year
Date Date Picker Icon
If you are a member/regular attender of a local church, please let us know which church.
Should be Empty:

Night to Shine 2020 Guest Registration

Parent and Caregiver Information

Guest's Dietary Information

Guest's Medical Information

Group Care Information

The Fun Stuff!

Guest Media Release