Guest Registration

You MUST register to attend as a guest by January 17th.

Gender:
Wheelchair/Accessibility Device Dependent:
Special Communication Needs:
Food Needs (food cut-up or pureed, gluten free, dairy free, etc.):
Will Need Medication Administered During Event (Please note that our 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)
Will guest be dropped off and picked up by a parent/caretaker?
Will guest be taking public transportation to and from event?
Will guest be attending as a part of a group that will provide transportation?
For Girls (select all that you need):
For Boys (select all that you need):
Select a Red Carpet Entrance:
Parent/Caretaker will be

Media Release Form

We ask that guests and parents/caretakers do as well.