Volunteer Application
Registration to serve at the 2019 Night to Shine hosted by Encounter Life Church.
Name *
Your answer
Email *
Please check entry for accuracy. Most communication will be via email.
Your answer
Phone Number *
Your answer
Name as you would like it to appear on name tag *
Your answer
Street Address *
Your answer
City and State *
Your answer
Zip Code *
Your answer
Gender *
Age/DOB *
Your answer
Have you been a volunteer at any Night To Shine event in the past? *
Parent name (if under 18)
*If you are under the age of 18, a permission slip sign by your parent/guardian is required to volunteer
Your answer
Parent phone (if under 18)
Your answer
Emergency contact during event *
Your answer
Emergency contact phone *
Your answer
Will you need childcare? *
Childcare will be provided for volunteers ONLY. Preregistration is required and will only be offered during the event time of 6pm to 9pm.
If so, age(s) and names(s) of children
Your answer
Former special needs skills/training (please check all that apply)
If you selected any special needs skills/training please list any details
Your answer
Any other special skills, notes or anything we should know about you?
Your answer
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