A Night to Shine Volunteer Sign-Up Form

A Night to Shine Volunteer Sign-Up Form

Sign up to serve as a volunteer for A Night to Shine. This form is for volunteers only and helps us place you in a role and schedule that best supports our guests.
- Full Name*
  
  First NameLast Name
- Email Address*
  example@example.com
- Mobile Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Date of Birth*
  
  MonthDayYear
  Date
- Home Address*
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Guest BuddyParkingFood ServiceDecorationsClean-UpMedical / First AidSecurityRespite RoomOther
- Guest BuddyParkingFood ServiceDecorationsClean-UpMedical / First AidSecurityRespite RoomOther
- Setup (before event)Event TimeTear-Down / Clean-Up (after event)
- YesNo
- Relevant Experience
- Special Skills or Certifications
- Any physical limitations or accommodations needed?
- YesNo
- YesNoNot sure
- Emergency Contact Name*
  
  First NameLast Name
- Emergency Contact Phone*
  Please enter a valid phone number.Format: (000) 000-0000.
- Relationship to Emergency Contact*
- I agree to the media/photo release
- Yes, please send me updates by email or text.
- Friend or familyChurch or organization announcementSocial mediaWebsitePrevious A Night to Shine eventOther
- Church / Organization Affiliation (if applicable)
- Any questions or comments for the organizer?
Should be Empty: