Night to Shine 2025 Volunteer Form

Night to Shine 2025 Volunteer Signup

This is for the BATON ROUGE location at Victory Harvest Church- Fri. February 7, 2025
*You have not completed signup until you have filled out all required fields and pressed the "Submit Registration" button at the bottom of this page.*

For help filling out the form, please call Victory Harvest Church at 225-275-5255 or email kirby@victoryharvest.org.
Volunteer Information
Volunteer Name*

First NameLast Name
Birth Date- Must be High School age or older*

MonthDayYear
Gender*

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information
Phone Number
Email Address
*Email is the primary method of updates/communication regarding Night to Shine 2025.*

Please be checking your email for updates regularly as the event gets closer!
One of our biggest needs is the role of “buddy,” a personal chaperone who will remain with the guest throughout the entire event. Are you comfortable serving as a "buddy" for one of our honored guests?*

Yes!No (but I'm willing to be an emergency Buddy if the need arises)No
Do you have any special skills (ASL, Special Education Teacher, etc) working with people with special needs, and if so can you explain? (Not a requirement)
Where are you coming from?*

Victory Harvest ChurchParkviewLOH Reach ClubOther
🗓Each volunteer must attend a mandatory training session for all Night to Shine Volunteers at Victory Harvest Church. There will be 2-3 different dates to choose from, but you will only have to attend one.
Permission/Waiver Acknowledgement

Functions and Activities

It is my understanding that participating in the programs and recreational and other activities of Victory Harvest Church is a privilege. Prior to my participation in such activities, I acknowledge that there are certain risks associated with the activities, including, by way of example, physical injury due to activity-related accidents, and physical injury due to transportation-related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.

Release of Liability

By signing this Permission/Waiver Form, I expressly warrant that the youth named above, or I (if I am a participant) am capable of withstanding both the physical and mental demands of children’s church activities. I also expressly assume all risks of the child, or me, participating in these activities, whether such risks are known or unknown to me at this time. I further release Victory Harvest Church and its ministers, leaders, employees, volunteers, and agents from any claim that my child may have, or that I may have, against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of the child’s or my family or estate, heirs, representatives, or assigns may have against Victory Harvest Church or its ministers, leaders, employees, volunteers, or agents.

I further agree to indemnify and hold harmless Victory Harvest Church and its ministers, leaders, employees, volunteers, or agents from any and I further agree to indemnify and hand all claims arising from my participation in its activities and programs, or as a result of injury or illness of my child, or myself, during such activities.

First Aid and Emergency Medical Treatment

I recognize that there may be occasions where the child named above or I (if I am a participant) may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of Victory Harvest Church to seek and secure any needed medical attention or treatment for the child named above, or me (if I am a participant) including hospitalization, if in the agent’s opinion such need arises—and in doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment.

I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.

Special Events and Field Trips

I understand that the youth named above, or I, will be participating in activities from January 1 2025, through December 31, 2025. I understand that during this period, my child/ward or I (if I am a participant) may take part in activities such as: cell group activities, special outings, camps, trips, outreaches, field days, work days, or other activities consistent with the purposes of the church.

Publicity

On occasion, Victory Harvest Church takes photographs or makes an audio or videotape recording of children and/or adults involved in church activities. Such photographs or video records may be used by staff and participants to remember the activities and participants. In addition, such photographs and audio/visual recordings may be used in Victory Harvest Church publications or advertising materials to let others know about our ministry. In addition, local news organizations may hear of our activities or events, and our church may invite or allow them to photograph or record our events for news reporting on special interest features. I consent to the use of any such audio or visual record of the child named above to be used, distributed or displayed as agents of the church see fit. This consent includes but is not limited to: photographs, videotape, and audio recordings. Furthermore, I give permission for the child to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media.
Night to Shine Participant (Guests & Volunteers) Media Rights Release

By signing below, and for the good and valuable consideration of participating in an event hosted by Victory Harvest 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 Victory Harvest Church, a Louisiana 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 Victory Harvest 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 Victory Harvest Church, and to any benefits inuring to TTF and Victory Harvest Church as a result of its use of any of the foregoing recordings. Among other things, TTF and Victory Harvest 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 Victory Harvest Church, for the advancement of TTF and Victory Harvest Church’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and Victory Harvest Church and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and Victory Harvest 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 recordings or use of 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.
IF THE PARTICIPANT IS A MINOR

I, the undersigned parent of the above participant, who is under 18 years of age, have read the above Permission/Waiver Form and am fully familiar with the contents thereof. Permission is given for this child to participate in all activities on February 7, 2025.

I hereby consent to the Permission/Waiver Form, including the Release of Liability above, on behalf of the child and agree that this Permission/Waiver Form shall be binding upon me, my family heirs, legal representatives, successors, and assigns.

Confirmation

By signing below, I agree to the contents of the Permission/Waiver and Media Rights Release above.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Name of Volunteer*

First NameLast Name
Parent/Guardian of Volunteer (if under 18)

First NameLast Name
Date*

MonthDayYear
Date
Signature of Volunteer or Parent/Caretaker (if volunteer is under 18)*

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eSignature Acknowledgement*

I agree that my electronic signature is legally binding and has the same force and effect as a handwritten signature.
Authorization For Background Investigation

Only complete if you are over 18 years old.

When applying for a volunteer or employment position at Victory Harvest Church, we may request and rely upon one or more consumer reports or investigative consumer reports about you, from the reporting agency listed below:

Ministry Safe, 6001 River Oaks Blvd, Suite 400, Fort Worth, TX 817-737-7233. Information and privacy policy can be found at www.ministrysafe.com.

In order to comply with the Federal Fair Credit Reporting Act (FCRA), we must provide you with the attached disclosure containing your rights concerning ALL types of consumer reporting, even though we will only be requesting the reports listed below. You have the right to receive copies of any reports that we receive, and respond to the consumer reporting agency with any information that you believe to be incorrect.

For your position here at Victory, these are the only reports that will be obtained:

1. Social Security Number Verification
2. Criminal History Report

If an applicant has a criminal record, it will not be an automatic bar to employment or work as a volunteer. Factors such as age at the time of the criminal offense, seriousness, and nature of the violation, time elapsed, and subsequent rehabilitation will be taken into account.

The information below is required by law enforcement agencies and other entities for positive identification purposes when checking records and social security number verification. It is confidential and will not be used for any other purpose.

If you are under 18 years of age, skip to the bottom and press "Submit Registration."
Name *Only required if you are over 18 years old*

First NameMiddle NameLast Name
Maiden Name or any other names used in the past *Only required if you are over 18 years old*
Social Security Number *Only required if you are over 18 years old*
Drivers Licensee Number *Only required if you are over 18 years old*
State Drivers License was Issued: *Only required if you are over 18 years old*
Present Address *Only required if you are over 18 years old*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List any other cities or states in which you have lived during the previous 7 years. *Only required if you are over 18 years old*
Type a question *Only required if you are over 18 years old*

By signing below, I acknowledge that the facsimile (FAX) or photocopy of this document shall be valid and accepted with the same authority as the original. I agree that this authorization will remain in effect throughout the term of my volunteering/working or to the extent allowed by law. I also acknowledge that I received a summary of the Federal Credit Reporting Act (FCRA) Disclosure.I hereby authorize release of all pertinent criminal record information maintained in their files, other state files, or the FBI files (if applicable) which may confirm or deny my eligibility for service in the ministry applied for at Victory Harvest Church. I agree that my electronic signature is legally binding and has the same force and effect as a handwritten signature.
Signature *Only required if you are over 18 years old*

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Night to Shine 2025 Volunteer Signup

*You have not completed signup until you have filled out all required fields and pressed the "Submit Registration" button at the bottom of this page.*

Volunteer Information

*Email is the primary method of updates/communication regarding Night to Shine 2025.*

🗓Each volunteer must attend a mandatory training session for all Night to Shine Volunteers at Victory Harvest Church. There will be 2-3 different dates to choose from, but you will only have to attend one.

Functions and Activities

Release of Liability

First Aid and Emergency Medical Treatment

Special Events and Field Trips

Publicity

Night to Shine Participant (Guests & Volunteers) Media Rights Release

IF THE PARTICIPANT IS A MINOR

Authorization For Background Investigation

If you are under 18 years of age, skip to the bottom and press "Submit Registration."

You have not completed signup until you have filled out all required fields and pressed the "Submit Registration" button at the bottom of this page.

Email is the primary method of updates/communication regarding Night to Shine 2025.