WHAT IS NIGHT TO SHINE?

A vision started and supported by the Tim Tebow Foundation which has ignited over 500 churches worldwide to host a prom on the same night for adults with special needs. Guests will be celebrated with a red carpet welcome, crowns and tiaras, corsages and boutonnieres, games, dancing, dinner, photo portraits, and all around VIP treatment. The vision is to provide an unforgettable night full of faith, hope and love for the amazing people with special needs who are truly Kings and Queens, and the parents/caregivers who support them.

Register a guest

Name *
Name
Birthdate *
Birthdate
*Night to Shine is for guests aged 14 and up
Address
Address
Phone *
Phone
Emergency Contact During Event *
Emergency Contact During Event
Emergency Contact Phone
Emergency Contact Phone
Is the guest wheelchair/accessibility device dependent? *
This can include foods, animals, latex, makeup, pollen, plants etc.
Does your child need their food cut up, separated, to be fed to them, etc.)
Please note that the church, their staff and volunteers are not responsible for administering medication to guests during the Night to Shine event. If medication is required during the event, a parent or caretaker MUST be available to administer the medication.
Parents/Guardians/Caretakers
Parent/Caretaker name(s): *
Parent/Caretaker name(s):
Parent/Caretaker phone: *
Parent/Caretaker phone:
Parent/Caretaker will be... *
*The Respite Room is a private area where parents/caretakers can spend the evening enjoying food, entertainment and rest while remaining onsite during the event. This information is required and limited to two per guest.
Please list any allergies and for how many guests they apply to.
Care Provider Agency Information - If Applicable
If attending as a part of a group, please include agency or company name.
Care Provider Agency Phone
Care Provider Agency Phone
If applicable
Note: Chaperone is not required to stay with guest(s) unless required by Care Provider Agency
Night to Shine Parent/Caretaker Media Rights Release:
By signing below, and for the good and valuable consideration of participating in an event hosted by First Avenue Christian Assembly, 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 First Avenue Christian Assembly (“First Ave”), a British Columbia 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 First Ave, 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 First Ave, and to any benefits inuring to TTF and First Ave as a result of its use of any of the foregoing recordings. Among other things, TTF and First Ave 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 First Ave, for the advancement of TTF and First Ave's exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and First Ave and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and First Ave, 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.
Name of Parent or Caretaker (if under 19)/Participant (if over 19): *
Name of Parent or Caretaker (if under 19)/Participant (if over 19):
Date of agreement: *
Date of agreement:
Consent applicable for: *
Consent applicable for:
Guest name
Last Steps
I would like to be contacted for future events/happenings at First Avenue
 

If you would like to support Night to Shine by giving a financial donation, please click DONATE and select “Night to Shine” as the available fund. Thank you for your consideration and generosity!