Respite Room Sign-up Form

Respite Room Sign-up Form

For the Night to Shine event in Amarillo, Texas on February 13, 2026
The Respite Room Team must arrive at the Civic Center by 5:30 on February 13th. You will be done by 10:00, and will be provided dinner during the event.
If you have already filled out this form and need to make a change, please do NOT fill out the form again. Please use our Change Request Form to send us a note about what needs to be changed.
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.
I agree to receive promotional messages sent via an autodialer, and this agreement isn't a condition of any purchase. I also agree to the Terms of Service » and Privacy Policy » . 4 Msgs/Month. Msg &Data Rates may apply. Text STOP to opt out anytime. Text Help for more information.
Have you volunteered for Night to Shine in the past?*

YesNo
Background Check Status:*

I completed a background check for Night to Shine 2025, 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 2026.I still need to complete my background check for 2026. (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.
Date of Birth

MonthDayYear
Date
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?
How did you hear about Night to Shine? Please be specific if it was through a church or organization. Let us know which of our outreach strategies are working!
Should be Empty:

Respite Room Sign-up Form

The Respite Room Team must arrive at the Civic Center by 5:30 on February 13th. You will be done by 10:00, and will be provided dinner during the event.