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Friday, February 7, 2020

Starts at 6 p.m.

Night to Shine is an unforgettable prom night experience, centered on God’s love, for teens with special needs. This February 7, 2020, Night to Shine celebrates its sixth anniversary!  This past year, on one night, 655 churches from around the world came together to host Night to Shine for approximately 100,000 honored guests through the support of 200,000 volunteers!

Last Name*
First Name*
Age:*
Gender*
Address*
E-mail*
Phone*
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Emergency Contact*
Emergency Contact number*
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Health Concerns*
Do you use a Wheelchair?*
Special communications needs?*
Special communications needs
Sensory issues/concerns*
Allergies*
Food needs*
Optional: Simple hair-do at FLC from 5 - 6 p.m.*
Optional: Tie tying at FLC from 5 - 6 pm*

Parent/Caretaker Information

Parent/Caretaker name(s)*
Parent/Caretaker phone*
-
Parent/Caretaker will be:*
* The respite room is a private area where parents/caretakers of guests can spend the evening enjoying food, entertainment and rest while remaining onsite during the event.
If enjoying respite room, how many?
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