Honored Guest - Supportive Living Home Registration

Please complete each section for every individual attending.
We are looking forward to hosting you at Night to Shine! We are expecting a magical night fit for princes and princesess. Each honored guest will be paired with a Shine Buddy to accompay them for the night.

*To ensure safety, all volunteers serving Night to Shine will have completed a background check and there will be a security team serving on site.

Honored Guest Information

Honored Guest 1 Name

Birthday

This address will receive a confirmation email

Gender

Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests, etc.)

Food Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc.

Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 2 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests, etc.)

Food Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 3 Name

Birthday

Gender Yes No

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests, etc.)

Food Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc.

Honored Guest 4

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interest)

Allergies

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 5 Name

Birthday

Gender Yes No

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 6 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 7 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 8 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies?

Wheelchair? Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 9 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Honored Guest 10 Name

Birthday

Gender Male Female

Tell us a fun fact or something the Honored Guest enjoys (favorite things, hobbies, interests)

Allergies?

Do they use a mobility device? I.e. wheelchair, walker, etc. Yes No

Does the honored guest have any sensory sensitivities?

Please share any other information that may be necessary to serve the honored guest the best we can.

Caregiver Information

Each honored guest must be checked in by a designated caregiver.

Please list all caregivers that will be attending with Honored Guests from their home.

Please list ALL parent/caregiver names separating with a comma.

Phone

Caregivers are invited to enjoy the Respite Room after all Honored Guests are checked in. You will have the opportunity to relax and enjoy a catered dinner, live music, connection with other parents and caregivers, and more

Will you be staying to enjoy the respite room?

Media Rights Release

By signing below, and for the good and valuable consideration of participating in an event hosted by Church at the Shores, 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 nonprofit corporation headquartered in Florida and Church at the Shores, an 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. Additionally, I hereby grant to TTF and Church at the Shores, without royalty or other compensation now or in the future, all rights of every kind and character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional recordings I might provide and to any benefits inuring to TTF and Church at the Shores as a result of its use of any of the foregoing recordings.

I agree to the media rights release above.

Agree Disagree

Honored Guest - Supportive Living Home Registration - NTS 2026

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Honored Guest - Supportive Living Home Registration - NTS 2026

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