Respite Room Sign-up Form

Respite Room Sign-up Form

For the Night to Shine event in Amarillo, Texas on February 7, 2025
The Respite Room Team must arrive at the Civic Center by 5:30 on February 7th. You will be done by 10:00, and will be provided dinner during the event.
Background Check Complete?
Name*

First NameLast Name
If your Legal Name (that you used for your background check) is different, please enter it here:
Email*
Phone Number*
Please enter a valid phone number.
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Have you volunteered for Night to Shine in the past?*

YesNo
Background Check Status:*

I completed a background check for Night to Shine 2024, and do not need a new one for this year. (Background checks are required every other year).I have already completed my background check for 2025.I still need to complete my background check for 2025. (You will be redirected to our Background Check Platform after submitting this form).I need Night to Shine to cover the cost of my background check (we will reach out to you).I am under the age of 18, and do not need to complete a background check.
Special Needs Skills (check all that apply):

Experience with Special NeedsHealthcare ProfessionalProficient or Fluent in ASLOther
Do you need a gluten free and/or dairy free meal?

NoGluten freeDairy freeBoth gluten and dairy free
Anything else you would like us to know?
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Respite Room Sign-up Form

The Respite Room Team must arrive at the Civic Center by 5:30 on February 7th. You will be done by 10:00, and will be provided dinner during the event.