2026 A Night of Hope Volunteer Registration for The Bridge Wellness South
Registration for volunteers serving at the annual Gala on Thursday, October 22, 2026 at Eagles Landing First Baptist Church. Designed for students and parents to complete together.
Student Information
Student Full Name
*
First Name
Middle Name
Last Name
Grade Level
*
Please Select
8th
9th
10th
11th
12th
Adult
Student Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email Address
example@example.com
Parent/Guardian Full Name
First Name
Middle Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Group Information
Are you serving with a group?
*
Yes
No
Church, school, or organization name
Adult group contact name
First Name
Middle Name
Last Name
Adult group contact phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Adult group contact email
example@example.com
Availability
The Gala program is from 7:00–9:00 PM. Students are encouraged to sit in and hear the panel discussion when they are not actively serving.
Can you arrive by 5:00 PM for setup and instructions?
*
Yes
No
If no, what time can you arrive?
Hour Minutes
AM
PM
AM/PM Option
Can you stay until approximately 9:30 PM to assist with cleanup?
*
Yes
No
If no, what time will you need to leave?
Hour Minutes
AM
PM
AM/PM Option
Dinner
Should dinner be provided?
*
Yes
No
Food allergy or dietary information
Emergency Information
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Self
*
Please Select
Parent
Guardian
Sibling
Relative
Family Friend
Other
Medical Information We Should Know for the Evening
Permissions
Parent/Guardian Permission Acknowledgment
*
I confirm I give permission for my student to volunteer at A Night of Hope on October 22, 2026.
Photo and Video Permission
I allow The Bridge Wellness South to use event photos or video that may include my student in nonprofit communications and social media.
I do not allow use of my student’s photos or video.
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Registration
Submit Registration
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