Group Registration 2026
February 13- Texarkana TX Convention Center ** Chaperone must attend **
Group Information
Group Name: (ie: Facility, Home, School)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list the name of those attending the prom. (Do Not Include Chaperones)
*
Chaperon Information
Name
*
First Name
Last Name
Best Contact Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Please list all Chaperones attending and phone numbers in case of Emergency.
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Best Contact Number
*
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
If someone in your group has a medical emergency who is the best point of contact?
By completing this form and attending this event, you are agreeing to allow Tim Tebow Foundation and event organizers, to use your photo(s)/video(s) for publications and/or promotional needs.
Yes, I agree
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