Night to Shine Honored Guests
(9 spots left)
Welcome to the Night to Shine Honored Guest Registration page
!
Night to Shine, sponsored by the Tim Tebow Foundation will be held at The Chapel Sandusky on Friday, February 13, 2026.
Honored Guest Information
* Name as you would like it to appear on name tag:
* First Name
* Last Name
* Full Date of Birth (mm/dd/yyyy) * Ages 14 and above only, please for Night to Shine Guests.
* Gender
Female
Male
* Current Address: STREET
* Current Address: CITY
* Current Address: STATE
* Current Address: ZIP CODE
* Email
* Phone Number (xxx-xxx-xxxx)
* Mobile Carrier
Select a mobile carrier
Unknown
No Texting
3 Rivers Tel. Coop., Inc.
Alaska Communication Systems
American Messaging
Appalachian Wireless
Arch Wireless
AT&T
Bell Mobility Canada
Bellsouth Mobility
Bluegrass Cellular
Boost
C Spire Wireless
Carolina West Wireless
CBeyond
Cellcom
Cellular Network Partnership
Cellular One (Illinois)
Cellular One of NE Arizona
Cellular South
Centennial Wireless
Chariton Valley Cellular (Bellcore Assigned)
Chat Mobility
Cincinnati Bell
Claro - Puerto Rico
Comcast (Xfinity) Mobile
Commnet Wireless
Consumer Cellular (AT&T)
Consumer Cellular (T-Mobile)
Copper Valley Cellular
Cricket
Dobson Tel. Co.
Docomo Pacific (Guam Wireless)
Eos Mobile
Family Mobile
Fido
Flat Wireless (ClearTalk)
Freedom Mobile
GCI
GCI Communication Corp.
Globalstar USA, Inc.
Gold Star Communications, LLC
Google Fi
H2O Wireless
Illinois Valley Cellular
Inland Cellular
Iowa Wireless Services
Jasper/Cricket
Keystone Wireless
Kitty Wireless
Koodo Mobile
Leaco Rural Telephone Cooperat
Metro PCS
Mid-Tex Cellular, Ltd.
Mobile Nation
MTN
MTS Communications
N-Telos
Nex-Tech Wireless
Nextel
Non-wireless Phone
NW Missouri Cellular
O2 (UK)
Optus Mobile
Orange (UK)
Page Plus
Pine Telephone
Pioneer Cellular
Plateau Wireless
PR Wireless (Open Mobile)
Public Mobile
Pure Talk
Qwest
Republic Wireless
Republic Wireless/Bandwidth.com (Sybase)
Rogers
Safelink
Sagebrush Cellular (Nemont)
SaskTel
Simple Mobile
Smart Telecom
Solo
Southern Communications Services, Inc.
Spectrum Mobile
Sprint
SRT Communications, Inc.
Straight Talk
Suncom
T-Mobile
T-Mobile (UK)
Telrite Wireless
Telus Mobility
Thumb Cellular
Ting
Total Wireless
Tracfone
UBET Wireless
Unicel
Union Wireless
United Wireless Communications
US Cellular
Verizon
Viaero Wireless
Virgin Mobile
Virgin Mobile (Canada)
Virgin Mobile (UK)
Vodacom
Vodafone (UK)
West Central Wireless
Wind Mobile
z-AT&T (alt)
z-At&t (alt2)
z-Sprint (alt)
* Emergency Contact During Event: NAME (will be listed on guest's name tag)
* Emergency Contact: PHONE (xxx-xxx-xxxx) This will be listed on guest's name tag.
* Wheelchair / Accessibility Device Dependent:
Select one
Walks Independently
Utilize Wheelchair
Utilize Walker / Cane
* I communicate:
Select one
Verbally
With a Communication Device
Gestures or Sign Language
* Allergies: (Please list all that apply):
Food
Latex
Makeup
None
* Allergies: (Please list specifics of any chosen above. -Or Type: None)
* Food Needs:
Puree
Cut-Up
Gluten Free
Dairy Free
Diabetic Friendly
Other
* Will Guest Need MEDICATION Administered Between 5 - 10 pm the night of the event?
Select one
Yes
No
**If medication is required during the event, a Parent or Caretaker MUST BE AVAILABLE to administer the medication.
* Will Guest Need Personal Hygiene Assistance?
Select one
Independent in restroom
Verbal reminders are needed to use restroom or wash hands
Physical assistance is required by caregiver
**If assistance with toileting hygiene is required during the event, a Parent or Caretaker MUST BE AVAILABLE to provide assistance.
* Would you like a quiet red carpet entrance? (No Cheering or Flash Photography)
Select one
No
Yes
* Please check all that apply:
I easily get upset when I must wait for longer than 10 minutes in line.
I get upset and anxious very easily, when this happens, I am challenging to redirect.
I must be picked up at the door when I leave due to safety concerns.
I prefer to be involved in multiple things, not sitting to long at one time.
I need a break frequently from loud noises.
I prefer to have strict personal boundaries.
None
* Additional Notes / Concerns You Would Like Us To Be Aware Of:
Respite Room : During Night to Shine respite activities and a meal will be offered for parent / care givers.
* Please select how many Parents / Caretakers will enjoy the Respite Room. Please limit to TWO Parents / Caretakers.
Select one
None
One
Two
Please list Full Name(s) of the (one and/or two) Parents/Caretakers who will enjoy the Respite Room:
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