Volunteer
Guest Registration
Media
Contact
Donate
Livestream
Volunteer
Guest Registration
Media
Contact
Donate
Livestream
Guest Registration Waitlist
"
REQUIRED
" indicates required fields
Unique ID
How many guests are you registering today?
Quantity
REQUIRED
Price:
$0.00
Quantity
125 registrations available.
Guest Details
Register Guests
Name
Actions
Edit
Delete
There are no
Guests.
Add Guest
Maximum number of guests reached.
Contact Information
Primary Contact Email
REQUIRED
Enter Email
Confirm Email
Primary Contact Phone
REQUIRED
Primary Contact Address
REQUIRED
This should be the address where you wish to receive information about Night to Shine.
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Emergency Contact Information
Emergency Contact Name
REQUIRED
First
Last
Emergency Contact Phone
REQUIRED
Releases & Agreements
Night to Shine Participant Media & Liability Rights Release
REQUIRED
We, the participant(s) and family/caregiver(s), agree.
NIGHT TO SHINE PARTICIPANT MEDIA & LIABILITY RIGHTS RELEASE: By checking below, and/or by or in consideration for participating in an event hosted by, sponsored by, or associated with the Tim Tebow Foundation and Antrim Brethren in Christ Church/King Street Church, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered in Florida and Antrim Brethren in Christ Church/King Street Church (ABIC/KSC), which are PA nonprofit corporations, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, the actions, physical likeness, biographical information, and/or voice of me and/or any person of whom I am the parent or legal guardian, including minor children (collectively referred to as the “Participants”). Additionally, I hereby grant to TTF and ABIC/KSC, 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 to TTF and ABIC/KSC, and to any benefits inuring to TTF and ABIC/KSC as a result of its use of any of the foregoing recordings. Among other things, TTF and ABIC/KSC may, but is not required to, copy or reproduce the recording, edit or modify it, incorporate it into another work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and ABIC/KSC, for the advancement of TTF and ABIC/KSC’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and ABIC/KSC and bind the Participants and their heirs, successors, and assigns. I, on behalf of all Participants, hereby release and discharge and agree to hold harmless TTF and ABIC/KSC, its directors, officers, employees, volunteers, and independent contractors, from any and all claims or damages, including but not limited to defamation or violation of rights of privacy or publicity, arising from or associated with the recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. I am of full age and have the right to contract in my own name and for each Participant. The above release applies to both participants and family/caregivers who are staying on-site.
Registration Confirmation Agreement
REQUIRED
I agree.
I understand by checking this box, that I should expect to receive a confirmation email that lets me know I am properly registered. I will watch for this email (check junk box as well). If I do not receive it within 24 hours of my registration, I will know that my registration may not have transmitted properly and will contact Jim Roberts at
robertsj@gmail.com
for assistance.
Event Location Confirmation
REQUIRED
I understand NTS will take place at Atrim Brethren Christ Church.
By checking this box, I acknowledge that even though King Street Church is the host church, that the event location is at
Antrim Brethren in Christ Church (24 Kauffman Rd E, Chambersburg, PA 17202)
Communication Release
I acknowledge TTF staff members and/or volunteers may contact the Participant to discuss their experience at the event, encourage, pray for, or receive general updates. I hereby give my full consent to TTF to contact the Participant after the event directly through the following means:
Telephone
Text Messages
Email
Please maintain contact through the parent/guardian only.
I do not give permission for TTF staff to contact the participant.