Night to Shine Parents/Caretaker-2026

Night to Shine Parents/Caretaker-2026 Please fill out the information below for the Parent/Guardian. After this information is completed, you will be directed to fill out the information for the guest. You will have the option to add more than one guest if necessary.

* First Name

* Last Name

* Email

* Mobile Phone

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* Address

* City

* Zip/Postal Code

* Will guest be dropped off and picked up by parent/caretaker?

* Will guest be attending as part of a group that will provide transportation?

If the answer is No to both of these questions, please provide details on who will drop off and picking up the participant.

There will be dinner and entertainment provided for caregivers/guardians/parents in the Respite Room. There will be a nice dinner, musical entertainment and BINGO to win door prizes. This will take place during the prom. If attending you will be dismissed in plenty of time to pick up the guest.

If attending the Respite Room, how many will be attending?

Please list the name(s) of ALL Parents/Guardians/Caretaker that will be attending the Dinner and Entertainment in the Respite Room.

Please list any Food Restrictions for the Parents/Guardians/Caretaker

There will be dinner and entertainment provided for caregivers/guardians/parents in the Respite Room. There will be a nice dinner, musical entertainment and BINGO to win door prizes. This will take place during the prom. If attending you will be dismissed in plenty of time to pick up the guest.

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