NTS Honored Guest Registration (EUFAULA CAMPUS)

Name:

Name as you would like it to appear on name tag:

Age:

Address: (If guest is with a group home, list home name only)

Gender:

Male Female

Fun fact about you: (this will be announced on the RED CARPET)

Buddy request: (if you would like to be paired with a specific Buddy for the evening, please list their name.)

Emergency contact/number during the event: (will be listed on name tag)

All Guests must be checked out by Parent, Caregiver, or Group home that registed them.

Please note that the Church, their staff, and volunteers are not responsible for administering medication to guests during the event. Parents/Caregivers will need to be available to administer the medications..

IMPORTANT-Please provide specific details in each section below. Even the smallest details help our teams better understand Guests needs and provide the best possible experience. If no special care is needed, answer NONE.

HEALTH or MEDICAL concerns: please list any medical concerns, allergies, dietary restrictions (ex: seizers, diabetes, food allergies, soft food, pureed food, choking risks, or special instructions.

MOBILITY or PHYSICAL assistance: does Guest require help with walking, standing, sitting, moving around? (ex: wheelchair, walker, assistance with stairs, balance concerns, help transferring, or able to transfer?)

COMMUNICATION needs: (ex: nonverbal, sign language, communication devices, limited speech, or difficulty understanding.) Please share specific communication tips that would be helpful for volunteers.

SENSORY concerns: are there any lights, sounds, activities, or environments that may cause discomfort or distress? (ex: strobe light, flashing lights, loud music, crowds, unexpected touch, or sudden noises.) How does the Guest react and what helps them to feel comfortable?

BEHAVIORAL and EMOTIONAL support: are there any behaviors, anxieties, or situations our volunteers should be prepared for? (ex: wandering, difficulty with transitions, becoming overwhelmed, needing breaks, or requiring supervision.)

FOOD needs: (ex: food cut-up, pureed, gluten free, nut free, dairy free etc.)

Additional notes/concerns you would like us to be aware of.

The Respite Room is a private area where caretakers of guests can spend the evening enjoying food, entertainment, and rest while remaining onsite during the event.

Parent/Caregiver will be... Dropping Guest off Enjoying Respite Room Staying with Honored guest as a Buddy. (you will need to register as a volunteer)

If enjoying Respite Room, please list Parents/Caretakers:

Care Provider Agency Information – If Applicable

Care provider Agency: (if attending as a part of a group, please include agency name.

(Note: Chaperone is not required to stay with guest(s) unless required by Care Provider Agency. If Chaperone

remains with guest, a current Background Check will be required and they will need to register as a Volunteer.

Do you give CCC-Eufaula and Tim Tebow Foundation permission to take and share photos and/or videos of the Honored Guest taken during the event?

Yes No

Description

Friday February 12, 2027

Night to Shine 2027 is a worldwide prom event for people with special needs, sponsored by the Tim Tebow Foundation and hosted by Community Culture Church and the Eufaula community. It is held annually on the Friday before Valentine’s Day and is for guests 14 years and older.

Honored guests of Night to Shine receive the royal treatment complete with limo rides, cheering paparazzi fans, and a stroll down the memorable RED CARPET. Guests enjoy hair & makeup services, party favors, and an amazing meal. This royal evening of dancing with friends is made complete when our amazing guests are each crowned as Kings and Queens of the prom!

This complimentary event celebrates people with special needs, which fosters a sense of JOY and BELONGING within the community.

PARENTS / CAREGIVERS, we see you! Enjoy the remarkable respite area, which live-streams this memorable event so you can relax and be pampered, too. This night includes a delicious meal, games, and prizes!

NTS Honored Guest Registration (EUFAULA CAMPUS)

Description

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