Night to Shine Participants 2026
Please fill out the following information on the guest that will be attending the Night to Shine Prom. All guests must be 14 years old or older.
* First Name
* Last Name
* Mobile Phone
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* Birth Date
* Gender
Female
Male
Allergies?
* What language does the guest communicate in?
Type of Disability (if comfortable sharing)
* Is guest in a wheelchair?
Select one
Yes
No
* Is guest visiually impaired?
Select one
Yes
No
* Is guest hearing impaired?
Select one
Yes
No
* Is ASL assistance needed?
Select one
Yes
No
* Emergency Contact
* Emergency Contact Phone
* Are there any hobbies or special interests that the guest has that would be helpful for the Buddy to know?
Additional Notes/Concerns You Would Like Us to Be Aware Of
* The event will have loud music. Are there any accommodations needed for the guest?
* May we have permission to take photos of the guest? These pictures will be sent to the Tim Tebow Foundation and possibly used on website/social media.
Select one
Yes
No
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