Volunteer Form: Night to Shine - Sylvester 
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Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
City *
Phone Number (Preferably cell phone) *
Parent Name (if under 18)
Parent Phone Number (if under 18)
Emergency Contact Name *
Emergency Contact Phone Number *

Background checks are required for ALL volunteers over the age of 18.

I have had a background check within the last 12-18 months:  

*
I Have Volunteered at Night to Shine Before:
*

Volunteer Role Requested (Please choose your top three choices. We will consider your request but cannot guarantee a specific role):

*
Required
Additional Notes or Comments
A copy of your responses will be emailed to the address you provided.
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