Request edit access
Night to Shine Volunteer Registration
Friday, February 13, 2026, 6:00 - 9:00 PM
Cross Creek Country Club
1129 Greenhill Road 
Mount Airy, NC 27030
Contact us at (336) 374-4419 or nts@salemdobson.com
Sign in to Google to save your progress. Learn more
Email *
Background Checks
Background checks are required for ALL volunteers over the age of 18. You will receive an email request to complete your background check. Registration is not complete until you have completed the background check. 
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Address
Phone  *
Parent Name and Phone (if under 18 years old) - Signature of Parent Required on Volunteer Permission Slip in next question.

Volunteer Permission Slip (Volunteers Under Age 18)

I give my permission for my child to participate as a volunteer at the 2026 Night to Shine, sponsored by the Tim Tebow Foundation at Salem Baptist Church, Dobson on Friday, February 13, 2026.

Parent Signature and Date:
By adding my electronic signature below, I have AGREED TO AND ACCEPTED this volunteer permission slip. *
Volunteer Roles Requested (We will consider your request but cannot guarantee a specific role.)
 *
Emergency Contact Name and Phone *
Additional Information, Notes or Concerns
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Salem Baptist Church.

Does this form look suspicious? Report

Google Forms