2025 Night To Shine-Shoals IN PERSON Event -Guest Registration
Parents/Guardians: Please complete this guest registration form to participate in Night to Shine Shoals 2025. This event will be IN PERSON on Friday, February 7, 2025. The location will be at the Guillot University Center on the University of North Alabama's campus. The phsyical address is 131 Shelby Way, Florence, AL 35633. 

This is sponsored by the Tim Tebow Foundation and We Are Chapel.  If you have questions, please contact Dustin Phillips at 256-810-1301 or d.phillips0601@gmail.com.

********Kindly be advised that registrations received after December 1, 2024, may not guarantee the availability of a T-shirt or evening meal at Night to Shine Shoals, as these are considered late registrations. However, we enthusiastically welcome you to attend the event!********
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We Are Chapel Church is excited to be your host church again for 2024! 
First Name: *
Last Name: *
Date of Birth:
Gender:  *
Mailing Address:
Zip Code:
Email Address: *
Primary Phone Number: *
Secondary Phone Number:
Fun Fact:
Primary Contact Name during In Person Event: *
Primary Contact Phone Number: *
Would you rather attend a virtual event? *
Does Night to Shine Shoals have permission to use your photograph from the event for promotional purposes? *
By agreeing below, and for the good and valuable consideration of participating in an event hosted by We Are Chapel, and sponsored in part by or associated with the Tim Tebow Foundation, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofitcorporation headquartered in Florida and We Are Chapel, a Alabama nonprofit corporation, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, my actions, physical likeness, biographical information, and/or voice.
What is your preferred social media platform?  CHECK ALL THAT APPLY *
Is there anything that we can be praying about for you?
Care Provider Agency:
Care Provider Agency Phone:
Additional Notes:
T-Shirt Size: *
Do you plan on dining with us? Our meal will consist of chicken tenders, mac & cheese, salad, roll, water, and a dessert.  *
Do you require an interpreter from AIDB?  *
Are you a member of Chapel?  *
Is there a song you would like to request from the DJ? 
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