Night to Shine Volunteer Sign Up Form
Thank you so much for signing up to help with Night to Shine 2022!
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent Name (If Under 18)
*
First Name
Last Name
Parent Phone (If Under 18)
*
Please enter a valid phone number.
Emergency Contact During Event
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
I Have Had a Background Check in the Last 12-18 Months
*
Yes
No
Special Skills/Training (Please Click All That Apply)
*
Fluent in American Sign Language (ASL)
Special Education Teacher
Healthcare Professional
Other
If "Other" Please Explain
*
I Have Volunteered at Night to Shine Before
*
Yes
No
Volunteer Role Requested (Please Select Top 3. We Will Consider Request, But Cannot Guarantee a Specific Role)
*
Activities
Buddy
Car Decorating
Decor (Set Up)
Encouraging Notes
Floater
Flowers
Food Service
Gift Packing
Gift Takeaway
Guest Check-In
Karaoke
Paparazzi
Photo Op
Prayer
Respite
Tear Down
Tech Support
Traffic
Volunteer Check-In
Where I Am Needed Most
Additional Notes or Concerns
Submit
Should be Empty: