Night to Shine Volunteer Registration
Use this form to sign up to volunteer at the Night to Shine on February 7th, 2020!
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
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DD
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YYYY
Gender *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent Name (If Under 18)
Your answer
Parent Phone Number (If Under 18)
Your answer
Emergency Contact *
Please provide their full name.
Your answer
Emergency Contact Phone Number *
Your answer
Have you had a background check within the last 12-18 months? *
All volunteers over the age of 18 must have background checks performed. If you have not had a background check within the last 12-18 months, we will contact you in order to get one processed.
If you are under 18, you will need to submit a permission slip signed by your parent/guardian in order to volunteer. Click the link below to download the permission slip.
Media Release
Please download, sign, and send (by fax/scan, snail mail, or dropping it off at our office) this Media Release: https://www.dropbox.com/s/owvt8dma9qsk9hz/nts%20participant%20media%20release.pdf?dl=0

Fax Number: 207-777-3076
Mailing Address: PO Box 1610, Lewiston ME 04241
Office Address: 9 Foss Rd, Lewiston ME 04240
Email: seth@pathwayvineyard.com
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