2024 NTS Guest Waitlist

Night to Shine Registration (Waitlist)

Valley Church in West Des Moines, Iowa
Date
February 9, 2024

Time
Arrive between 3-5 pm
Event ends at 9 pm

Valley Church is NOT able to provide rides to or from the event. Please make arrangements in advance.

Address
Valley Church
4343 Fuller Rd; West Des Moines, IA
&
Valley Community Center
4444 Fuller Rd; West Des Moines, IA

**Please Note: We invite a parent or caregiver to escort their Night to Shine guest through the pre-prom activities. This is a great way to build wonderful memories as they are pampered with make-up, hair, nails, shoe shines, flowers, and even announced as the king/queen at the Royal Crowning Stain. Once your Night to Shine guest(s) are paired up with their prom buddy you can join the other parents or caregivers in the hospitality room. A sign up for the hospitality room will be coming.
Countdown to Night to Shine!
Full Name*

First NameLast Name
Nickname*
Please type the name that you prefer others call you.
Birthdate*

MonthDayYear
Unique Question
We're sorry, but Night to Shine is for individuals age 14+. If you have received this message in error, please check your birthdate and try again. Thank you.
Will you be a Prom King or a Prom Queen?*

King (male)Queen (female)
E-mail*

Confirmation EmailWe will use email to communicate with you so please make sure to use a a VALID email address that you check regularly!
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
By providing my initials below, I agree to the above media release. (In the case of a minor or individual unable to complete this form, a Parent or Legal Guardian can initial in his/her place. A staff member may initial AFTER obtaining Parent or Legal Guardian's consent.) *

Getting to Know You!

In order to make your night as magical as possible, we would like to get to know a little bit more about you, our guest.
Have you attended Night to Shine at Valley Church in the past?*

Yes, I have attended Night to Shine at Valley ChurchI have attended Night to Shine in the past, but not at Valley ChurchNo, this is my first time attending Night to Shine
Do you currently attend Valley Church?*

Yes, I attend Valley ChurchNo, I don't attend Valley Church
For registration purposes, will you be checking in individually or with a group (such as group homes, assisted care facilities, roommates, etc.)?*

I will be checking in with my group homeI will be checking in on my own
Group Home Name*
Examples are Mosaic, Link, etc.
Contact Person*
Phone Number*
Address*

Just the Street Address, such as 14th St or Grand Ave

Street Address Line 2

CityState / Province

Postal / Zip Code

Night to Shine Registration (Waitlist)

Getting to Know You!

Special Accommodations