Volunteer Registration
Event Timing: February 9, 2017
Event Address: Oakwood Christian Church
Contact us at (580)234-4334 or nighttoshineenid@gmail.com
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
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DD
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YYYY
Gender *
Address *
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City *
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State *
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Zip Code *
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Email *
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Parent Name (if Under 18) *
Your answer
Parent Phone (if Under 18) *
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Emergency Contact during event *
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Emergency Phone *
Your answer
Background checks are required for ALL volunteers over the age of 18.
* I have had a background check within the last 12-18 months: Yes: □ No: □


If you are under the age of 18, a permission slip signed by your parent/guardian is required to volunteer.

Former special Needs Skills/Training (please check all that apply)
If other please explain:
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I have volunteered at Night to Shine Before
Volunteer Role Requested (we will consider your request but cannot guarantee a specific role)
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Additional Notes or Concerns
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