Guest Registration Form 2026

Night to Shine Amarillo Guest Registration Form

This form is only for the Night to Shine event hosted in Amarillo, Texas.
If you have already filled out this form and need to make a change, please do NOT fill out the form again. Please use our Change Request Form to send us a note about what needs to be changed.
Guest Information
Check out Code
Guest Name (use the name they want on their name tag)*

First NameLast Name
Best Contact Email Address*
Best Contact Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
You entered a state other than Texas. This registration is only for the event held in Amarillo, Texas. Click the box below if you are traveling to Amarillo, Texas for the event and wish to continue signing up for the Night to Shine in Amarillo.*

I understand that this registration is only for Amarillo, Texas.
Age*
Gender*

MaleFemale
Fun Fact About the Honored Guest!*

Emergency Contact Information
Emergency Contact Name- This person MUST stay at the Civic Center during the Event, either in the Respite Room, or as a Volunteer*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
THE EMERGENCY CONTACT MUST STAY AT THE CIVIC CENTER DURING NIGHT TO SHINE. How many parents or caretakers will go to the Respite Room? *
The Respite Room is a private area where parents/caretakers of guests can spend the evening enjoying food, entertainment and rest while remaining on site during the event.
Where is the Emergency Contact volunteering?*

Medical and Health Information
Please provide as much detail as possible.
The following information is used for the Buddy Cards that each buddy will get. This will allow the buddies to get to know the guest better.
Wheelchair/Accessibility Device Dependent? We will NOT have wheelchairs or walkers available. All guests must bring their own.*

Yes, and guest will bring their own device.No
Health Concerns- please be as descriptive as possible.
Special Communication Needs- please be as descriptive as possible.
Sensory Issues/Concerns. Please provide information on how we can help the guest if they begin to experience sensory issues or sensory overload. List both tips for calming the guest and any triggers.
Meals and Allergies
Please select a meal. Click here to see the ingredients in each meal. These are the only 2 options and only one can be selected. Due to limited quantities, guests MUST eat what they signed up for.
Meal Options*

Regular Meal: Breaded Chicken Tenders; Mashed Potatoes; Gravy; Macaroni and Cheese; Green Beans; and Cornbread. Desserts: Brownies; Sugar Cookies; Chocolate Chip Cookies; M&M Cookies.Specialty/Allergen Meal: Grilled Chicken Tenders; Roasted Potatoes; Green Beans; and Corn. Gluten Free, Dairy Free, Egg Free and Nut Free. Click the link below to see ingredients.Guest will eat before they come, and should not be allowed to eat at the event.
List any food allergies the guest has that pertains to the meal we're having, or any notes for our dietician:
Does food need to be pureed or cut up?*

NoPureedCut up

Buddy Information
Every guest is paired with a volunteer Buddy. The Buddy spends the entire evening with the guest and makes sure that they are well cared for and have a great time.

Many of our guests request a specific buddy- a family member, a friend, or their buddy from last year! All buddies must fill out our Buddy Registration Form, even if they are family of the guest. If the guest has significant health needs, please consider signing up a caretaker to be their buddy. We want to ensure they have someone who is adequately equipped to take care of them.
To request a certain volunteer to be your buddy, please enter their name here. Make sure this person completes the volunteer registration form!

First NameLast Name
If you have it, please provide us with the Requested Buddy's email and phone number so we can invite them to register.
example@example.com
Phone Number
Please enter a valid phone number.
Does the guest need a buddy with particular experience?*

No, they do not need a buddy with experience with Special Needs.Their buddy needs to have Moderate Experience with Special Needs.Their buddy needs to have Extensive Experience with Special Needs.Their buddy needs to be a Medical Professional.Other (explain in the box below).
If needed, please go into greater detail about the experience the buddy will need so that we can find them someone with adequate experience.
ONLY ANSWER IF A PARENT OR CARETAKER IS SIGNING UP TO BE THE GUEST'S BUDDY! Would you also like us to provide a "Fun Buddy"? This would be a volunteer who does not have any medical experience or special needs experience, but could spend the evening with the 2 of you so that guest has a friend in addition to their parent/caretaker.

YesNo
Anything else you would like us to know?

Consent Items
I understand that at least one parent or caretaker must stay at the civic center during Night to Shine and I will adhere to this policy.
I understand that volunteers will not be allowed to administer any medication at Night to Shine.
Liability Release and Agreement (required for attendance): In consideration of acceptance of my participation in “Night to Shine Amarillo” at The Amarillo Civic Center, hosted by The Loft Church on February 13, 2026, I hereby understand and acknowledge the following contractual representations and agreements: 1. Participation in this event/activity is entirely voluntary but may include physical and cardio effort. Before you engage in any event/activity of this type, you should consult with your doctor. By signing the form below, you fully realize the dangers of participation in an event/activity of this type and voluntarily assume all of the risks associated with such participation. 2. By signing the form below, you agree that you are solely responsible for your own health and safety during the above-referenced event/activity, and you fully release any and all claims against the event/activity organizers, your fellow participants/volunteers, The Loft Church, The Tim Tebow Foundation, The City of Amarillo, and any employees of these parties for any injuries, loss or harm arising from your participation in this event/activity. 3. In the event that any one or more of the provisions of this Agreement shall be held to be invalid, unenforceable or in conflict with the law according to the jurisdiction of the State of Texas, Potter County, the remaining portions will not be invalidated and shall remain in full force and effect. I acknowledge that I have read, understand and agree to the terms of this Release and Agreement. This Release and Agreement represents my complete understanding regarding these issues and no oral representation, statements or inducements have been made apart from what is contained in this document.*

I agree
Media Rights Release (required for attendance): By agreeing below, and for the good and valuable consideration of participating in an event hosted by The Loft 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 The Loft Church, a Texas 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 The Loft 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 The Loft Church, and to any benefits inuring to TTF and The Loft Church as a result of its use of any of the foregoing recordings. Among other things, TTF and The Loft 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 The Loft Church, for the advancement of TTF and The Loft Church's exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and The Loft Church and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and The Loft 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.*

I agree
This form was completed by:*

First NameLast Name
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Night to Shine Amarillo Guest Registration Form

Meals and Allergies

Every guest is paired with a volunteer Buddy. The Buddy spends the entire evening with the guest and makes sure that they are well cared for and have a great time.