Night To Shine 2025 Honored Guest Registration
This year our event is in person again! Event Date - February 7, 2025 6-9:00pm Please NOTE: All questions require an answer, please enter NA or 0 to move to the next question.
Honored Guest Name
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First Name
Last Name
Is your guest at least 14 years old?
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Yes
No
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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example@example.com
Mailing Address - Your entrance ticket to this event for you and your buddy (if you are bringing your own) will be mailed to this address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
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Please enter a valid phone number.
Each guest will be paired with one of our volunteers to be their "buddy" for the evening. Please choose an option below:
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Please provide a buddy
We will bring a buddy (please provide their contact information below)
Parent/Caretaker will act as buddy (please provide their contact information below)
If your guest plans to bring their own buddy please provide their name below. If we are providing a buddy for you enter NA. If you have any questions about buddies, contact Carrie Hodges at 865-689-5397 or via email carrie.hodges@bohbc.org. Please remember each guests gets their own buddy so the same person cannot be the buddy for multiple people.
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If we are providing a buddy for you please enter any preferences (male/female, tall/short, etc.) If no preference or your providing your own buddy enter NA. If you have any questions about buddies, contact Carrie Hodges at 865-689-5397 or via email carrie.hodges@bohbc.org.
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What information would your buddy need to know about your guest. (i.e. - sensitive to loud noises or lights, in a wheelchair, uses a walker, non-verbal etc)
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Does your participant have any food allergies we need to be aware of?
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There are 3 option for parents during the event. You can stay on campus and watch the event live in our respite room. You can enjoy a catered meal at the Jubilee Banquet Hall (approx. 2 miles away) and watch the event live, or you may drop off your guest at the event and return the pick them up at 9:00 Please choose an event below you will receive tickets in the mail for entrance to each of these events.
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Respite room - on campus (please provide number of guests below)
Respite room - off campus at Jubilee (please provide number of guests below)
We will return to pick up our participant at 8:30
If you are staying for a ON CAMPUS respite room event, please include the number of people that will be with you. If no one please choose zero.
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If you are staying for a OFF CAMPUS AT JUBILEE respite room event, please include the number of people that will be with you. If no one please choose zero.
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PARENTS PLEASE NOTE! If you plan to stay on campus you will need to be in the Respite Room the entire evening after the red carpet unless you plan to act as your participant's buddy for the evening. The event will be live streamed here. We try to keep as much space as possible available for our guests and their buddies to sing and dance. We encourage you (if you are comfortable being away for your participant) to watch the event at the Jubilee you can enjoy a nice dinner and conversation with other parents/caretakers!
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I understand
Please read carefully. In consideration of our accepting me or my child for participation in the above named program, activity, or sport, I hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages that I may have against Black Oak Heights Baptist Church and the Tim Tebow Foundation and its agents, employees, representatives, successors and assigns for any and all injuries suffered by myself or my child or dependent that arise out of the above named program, activity, or sport participated in at Black Oak Heights Baptist Church. I warrant that I have the right to authorize the foregoing and do hereby agree to holdback Oak Heights Baptist Church and the Tim Tebow Foundation harmless of and from all liability of whatever nature, which may rise out or result from such participation. For the consideration stated above, I further agree that in the event that my child or I should make any claim against the Black Oak Heights Baptist Church and the Tim Tebow Foundation for damages arising out of the above named activity, I will personally indemnify, defend, and hold harmless Black Oak Heights Baptist Church and the Tim Tebow Foundation, its agents, employees, representatives, successors, and assigns against any and all loss and damage occasioned thereby, including attorney’s fees. By checking the box on the registration form. You agree that you have read and understand this agreement and have willingly checked the box on the registration form as evidence of your acceptance of all the conditions contained herein.
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I agree to the above terms and conditions
I do not agree to the above terms and conditions
By signing below, and for the good and valuable consideration of participating in an event hosted by Black Oak Heights Baptist 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 Black Oak Heights Baptist Church("BOHBC"),a Tennessee STATE 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 BOHBC, 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 BOHBC, and to any benefits inuring to TTF and BOHBC as a result of its use of any of the foregoing recordings. Among other things, TTF and BOHBC 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 BOHBC, for the advancement of TTF and BOHBC exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and BOHBC and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and BOHBC, 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 recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida and Tennessee, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. By checking the box on the registration form. You agree that you have read and understand this agreement and have willingly checked the box on the registration form as evidence of your acceptance of all the conditions contained herein.
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I agree to the above terms and conditions
I do not agree to the above terms and conditions
I am of full age (18 or over) and/or have the right to contract in my full name for the above named participant/Honored Guest.
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Full Name Here
Signature
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