Night to Shine Volunteer Form
Your name:
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First Name
Last Name
Your email: (this is how we will contact you!)
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example@example.com
Confirm your email:
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example@example.com
By filling out this form, you CONSENT to have photo/videos taken with you in them. Photos/videos will be taken by hired photographers/videographer for Ashland Special Needs Ministry, and will be posted on our website. Photos/videos may appear in Ashland Special Needs Ministry's promotional material. Ashland Special Needs Ministry is not responsible for where photos end up after being posted to our website. **If you have questions, please fill out a 'Contact' form at ashlandspecialneeds.com
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I give consent
Your age (14+ only)
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Your Phone Number:
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Skills & General Information:
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I know ASL
I have a background check that I can provide
Experience with trachs / g-tubes
I am CPR certified
I am first aid certified
None of the above
If you cannot provide a background check, you MUST follow the link below.
https://ashlandn2s.quickapp.pro
Volunteering Options
Help with set-up/decoration, help during the event, or help clean-up afterwards.
I can volunteer for the event (Friday, February 13th from 5:00-9:00pm):
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Yes
No
During the event, I want to be a:
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1:1 buddy (must be 16 or older)
kitchen / food team volunteer
karaoke room volunteer
limo room volunteer
a gym volunteer (monitoring the main dance space)
game room volunteer
parent respite room volunteer
photo booth team member
a princess room volunteer
parking team member
a runner (run arrands: food to the karaoke room, to the parent respite room, etc.)
flower & gift bag team member
My second choice:
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1:1 buddy (must be 16 or older)
kitchen / food team volunteer
karaoke room volunteer
limo room volunteer
a gym volunteer (monitoring the main dance space)
game room volunteer
parent respite room volunteer
photo booth team member
a princess room volunteer
parking team member
a runner (run arrands: food to the karaoke room, to the parent respite room, etc.)
flower & gift bag team member
For 1:1 buddies: Is there is certain participant you want to be paired with? Type their name below. If n/a, leave blank.
I want to volunteer for decoration and set-up (Thursday, February 12th or Friday, February 13th)
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Yes
No
I can decoration / set-up:
Thursday, February 12th from 5pm-7:30pm to Decorate/Food Prep
Thursday, February 12th from 7:30pm-10pm to Decoration/Food Prep
Friday, February 13th from 8:30am-11am to Decoration/Preparation
Friday, February 13th from 11am-1:30pm to Decoration/Preparation
Friday, February 13th from 1:30pm-4pm to Decoration/Preparation
I want to volunteer to clean-up
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Yes
No
I will be there at this time to clean up:
Friday, February 13th from 9pm-11pm to Clean Up
MANDATORY Training (per Tim Tebow's Foundation)
You must attend one of two offered sections.
I will attend the MANDATORY training (at Grace Church 1142 W. Main Street, Ashland) on
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January 29th 6pm-8pm (Snacks will be provided)
January 31st 10am-12pm (Snacks will be provided)
T-shirt size to be worn the night of the event
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S
M
L
XL
2X
3X
4X
You experience with people with disabilities:
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I have little to no experience
I have some experience and am fairly comfortable
I am often with people with special needs!
I have a family member with special needs
Please describe the experience you have with persons of disabilities, and why you would like to participate in our event
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Is there anything that would impact your ability to serve during the duration--4 hours--of the event? (i.e. a disability, medical concern, etc.) If so, please describe: (or write n/a)
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Submit
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