2026 Night to Shine Guest Waiting List

We are so excited to celebrate Night to Shine with all of our special guests! We cannot wait to see you on February 13, 2026!

Night to Shine will be held at Rising Sun Church of Christ at 6390 NE Rising Sun Drive, Pleasant Hill, IA on Friday, February 13, 2026 from 6 pm to 9 pm.

If you are registering multiple residents from your facility, please do a registration for each person attending. This helps us make sure we have accurate counts for those attending to be sure we have gifts for everyone and enough guest buddies to help make our guests feel special.

If you do not receive a reply email after registering, then something went wrong and you should attempt to register again. If you still don't receive an email reply, please email risingsunntsassistant@gmail.com and let us know so we can resolve the issue.

If you have any questions or concerns, please reach out to us at risingsunntsassistant@gmail.com and someone will get back to you promptly.

Thank you! We can't wait to see everyone's smiling faces in February 2026!

Guest Name*

First NameLast Name

Does the guest have a preferred nickname?

Guest Date of Birth*

Date

Age Age*

Prom King or Queen*

Male/KingFemale/Queen

List any allergies the guest has

Does the guest have any communication needs? (Such as non-verbal, communication board, sign language, etc.)

Does the guest have any sensory issues such as sensitivity to light and sound, touch, etc? Please describe.

Guest Phone Number*

Guest Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

All honored guests are provided with a buddy for the night to share all of the fun with. Will the honored guest bring their own buddy?

YesNo

If yes, what is that person's name?

Has the guest attended Night to Shine at Rising Sun Church of Christ in the past?

Yes, I have attended Night to Shine at Rising SunNo, this is my first time attending Night to ShineI have attended Night to Shine in the past, but not at Rising Sun

To assist with registration, will the guest be checking in individually or with a group (such as group homes, assisted care facilities, roommates, etc.)?

Guest will check in on their ownGuest will check in with others from their group home or roommates

Group Home Name or Agency Name

Agency Chaperone

Agency Phone Number

Name of person completing this registration

First NameLast Name

PLEASE NOTE: This email address will be used to confirm your registration as well as communicate with you regarding the event. Please make sure it is accurate and it is an email account that you check often.

Email*

example@example.com

Phone # for person filling this form*

Primary Contact for Guest during the event for emergencies*

First NameLast Name

Phone Number for Primary Contact during the event for emergencies*

Relationship to guest

Will there be a parent/caretaker who plans to stay during the event and utilize the respite room?

YesNo

If yes, how many will stay?

Name(s) of those who plan to stay:

One of the rules of The Tim Tebow Foundation is that all adults who plan to stay with the guest and walk around the venue with them, they must be background checked. If this is your plan, please indicate this below so that we can contact you to determine next steps.

Please click the button below ONLY if a non-registered adult plans to stay with the guest and walk around with them.

Will stay with the guest on this registration

I agree to release all rights for any of the pictures and/or video that will be taken during the Night to Shine event of me and/or my family members, including minors, for use by Rising Sun Church of Christ and/or the Tim Tebow Foundation. These uses include but are not limited to a highlight video and promotional material.

AcceptDo not use my picture

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.)

Is there anything else you need to share with us that we have not already asked in this registration that will help us understand your needs?

2026 Night to Shine Guest Waiting List

We are so excited to celebrate Night to Shine with all of our special guests! We cannot wait to see you on February 13, 2026!

Honored Guest Information

Agency/Group Information

Caretaker Information