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Night to Shine Volunteer Registration
First Name
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Last Name
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Date of Birth
MM
/
DD
/
YYYY
Gender
Address
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City
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State
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Zip
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Email address
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Cell Phone Number
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Emergency contact during event (name & cell phone #)
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Under 18?
If you are you under 18, please provide your parent name(s) and cell phone number(s). We will also need a completed Permission Slip signed by your parents. Please complete the form and email it to info@chnorthshore.com or give it to Jamie at church. https://drive.google.com/file/d/1Jf78pBqiaQ9DYIsPthQMfZoufYdphtex/view?usp=sharing
Parent name(s)
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Parent cell phone number(s)
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Background Checks
Background checks are required for all volunteers 18 and older.
Have you had a background check at CityHill Northshore in the last 12-18 months?
Special Needs Skills/Training/Qualifications (check all that apply)
Have you served at a Night to Shine event in the past?
Volunteer Role requested (most positions have been filled except for Buddy and Clean up at this time)
Additional Notes, Concerns or Questions?
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