Night to Shine Volunteer

Name

Date Of Birth

Gender

Male Female

Address

This address will receive a confirmation email

Phone

Parent Name (if under 18)

Parent Phone Number (if under 18)

Emergency Contact During Event Name

Emergency Contact Phone Number

A current background check is required for ALL volunteers over the age of 18. If we need a background check from you, you will receive a form to fill out to the email address we have on file.

Special Skills/Training (Please check all that apply) Fluent in American Sign Language (ASL) Special Education Teacher Healthcare Professional Other

If other, please explain:

I have volunteered at Night To Shine Before

Yes No

Do you have a request to buddy for a particular guest? Please list the guest name here.

Additional notes or concerns:

Description

2/13/26 - 6:00 PM

IMPORTANT: Every volunteer must have a completed background check on file! Once you sumbit this registration form if we need a background check form from you, you will recieve a background check form to the email address we have on file. Please fill the backgound check as as soon as possible! Thank you!

Night to Shine Volunteer

Description

Please Fix the Following