Night to Shine 2018 Guest Registration Wait List
Please understand that at this time, we are at capacity for Night to Shine 2018. Please fill out this form to be put on a wait list. If there are any cancellations, we will contact guests from the wait list in the order they were signed up.

Event to be held at:
St. Paul Lutheran Church and School
Boca Raton, FL
Friday February 9, 2018
6:00 PM to 9:00 PM

Please complete one registration form for each guest.

Email address *
Last name *
Your answer
First name *
Your answer
Name as you'd like it to appear on name tag *
Your answer
Phone number *
Your answer
Age (on February 9, 2018) must be 14 or older *
Your answer
Gender *
Fun fact about yourself *
Your answer
Health concerns (or none) *
Your answer
Do you use a wheelchair? *
Communication needs (or none) *
Your answer
Sensory issues (or none) *
Your answer
Allergies (or none) *
Your answer
Special food needs (or none) *
Your answer
Is this Guest part of a group? *
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