2027 Erie Night to Shine Buddy Volunteer Registration Form
**Must be 18 years or older to be a Buddy Volunteer. **All BUDDY VOLUNTEERS are required to have a Background Check (Clearances). After you submit your registration form, you will receive an email with a link to apply for clearances and a link to upload your clearances into our portal. **Must bring Photo ID to event**
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Age
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I have volunteered at Night to Shine before.
*
Yes
No
Are you volunteering to be a Buddy?
*
Yes
No
I am volunteering as a Buddy
*
I am a buddy to a specific guest (please add name in next field).
I need a guest assigned to me.
My honored guest is:
Name of honored guest
Specific Skills/Training for People with Special Needs (please check all that apply)
Classroom Aid
Fluent in American Sign Language (ASL)
Special Education Teacher
Mental Health Professional (Please also choose other and explain)
Other
Emergency Contact During Night to Shine
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
I acknowledge I will require a Background Check (Clearances), a signed Media Release Form, and present a Photo ID to participate in ErieNTS on February 12, 2027.
*
Acknowledge
Signature
*
Submit Form
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