Volunteer Registration
Information
Name
First Name
Last Name
DOB
Address
City
State
Zip Code
Email
example@example.com
Phone
Parent Name if under 18
Parent Phone (if under 18)
Emergency Contact During Event
Emergency Contact Phone
Special Skills/Training (please check all that apply)
Fluent in American Sign Language
Special Education Teacher
Healthcare Professional
Current Volunteer in CHURCH’s Special Needs Ministry
Other
I Have Volunteered at Night to Shine Before
Yes
No
Volunteer Role Requested (Please number your top three choices. We will consider your request but cannot guarantee a specific role):
Activities
Bathroom Attendant
Buddy
Buddy Check-In
Coat Check Floaters
Flowers
Food Prep
Food Service
Gift Takeaway
Guest Registration
Hair
Makeup
Medical
Paparazzi
Parking
Red Carpet
Respite Room
Safety Sensory
Room Set-Up
Social Media Photographer
Tear Down
Transportation
Volunteer Check-In
Where I Am Needed Most
Additional Notes or Concerns:
Preview PDF
Submit
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