Virtual Night to Shine Guest Registration
We are so excited to host Night to Shine, sponsored by Tim Tebow Foundation on Friday, February 10, 2022 from 4-7 PM.  We'll have a virtual experience for you that you can enjoy from wherever you are.  For those that are local in the Buffalo area, we will have a Shine-Thru experience on Friday where you can drive through and pick up some special gifts to enjoy when you watch the Virtual Experience on your own.

Night to Shine is an unforgettable prom night experience, centered on God’s love, for people with special needs.

We are blessed to be a part of this growing worldwide movement through the local church where thousands of people with special needs will be celebrated, given the royal treatment and reminded of God’s love for them!
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Honored Guest Information
First & Last Name *
How did you hear about Night to Shine? *
Date of Birth *
Honored Guests must be at least 14 yrs and older
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Gender *
Home Address *
Address, City, State & Zip Code
Email Address *
Phone *
Fun fact about you! *
Information for the Night of Event
Primary Contact During Virtual Event *
We will list this on the guest's nametag)
Primary Contact Phone Number During the Event *
How do you think you will be engaging with Night to Shine this year? *
We are definitely going to have a Shine-Thru event before the LIVE event for Guests to drive through and pick up special gifts and possibly get some pictures before they go home to watch the virtual event.
Health Concerns?
Special Communications Needs?
Skip if not applicable
Sensory Issues/Concerns (strobe lights, camera flashes, loud noises, etc.)?
Skip if not applicable
Allergies? (Please list any that apply: foods, animals, latex, makeup, plants or pollen, etc.)
Skip if not applicable
Do you have access to the internet? *
Do you have access to a computer or tablet? *
If you do not have access, would you be able to borrow a computer or tablet from a friend or family member?
Clear selection
What is your preferred social media platform:
Clear selection
Would you be interested in an interactive virtual social hour?
Clear selection
We may offer a free boutique experience where you could shop for prom attire and accessories. Would you be interested in "shopping" at the boutique?
Clear selection
 Is there anything we can be praying about for you?
Parent/Caretaker Information
Parent/Caretaker Name(s): *
Parent/Caretaker Phone: *
Care Provider Agency Information – If Applicable
Care Provider Agency:
Care Provider Agency Phone:
Agency Chaperone (if applicable):
Additional Notes or Concerns:
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