Mandatory volunteer meeting be Jan.15th at 7pm.  To volunteer for the “Night to Shine’ prom attend this meeting.  We need 200 volunteers!

New Life Christian Fellowship

is honored to host Night to Shine 2019

sponsored by the Tim Tebow Foundation

Friday, February 8, 2019 at 6:00 -9:00 PM

Event:

Night to Shine sponsored by the Tim Tebow Foundation is an unforgettable prom night experience, centered on God’s love, for people with special needs ages 14 and older. Night to Shine is a night for the churches to shine, the volunteers to shine, our honored guests to shine, and most importantly, God to shine.

When:

02-08-2019

6:00 – 9:00 PM

Where:

New Life Christian Fellowship

6755 S. Washington Ave.

Titusville, FL 32780

Contact:

Louise Duchesneau

New Life Christian Fellowship

Special Needs Coordinator

Mobile:  321-501-5654

Office:  321-269-7578

Be a Night to Shine Volunteer:  Get involved by volunteering.  Volunteers help make Night to Shine possible.  As a volunteer you can bless a person with special needs and be a part of this unforgettable experience!  Contact Louise Duchesneau to be a volunteer.

Royal Treatment:  Night to Shine is for people with special needs ages 14 and older.  Each and every honored guest will leave Night to Shine crowned a king or a queen, knowing that the God of this universe loves them and has a plan for their life. 

EVENT REGISTRATION

Attendee's First Name: (required)

Attendee's Last Name: (required)

Attendee's Email Address:(required)

Attendee's Phone Number (required) including area code (XXX-XXX-XXXX):

Address: (required)

Does the attendee require an additional chaperone/caregiver for the evening other than the Buddy being provided?:
yesno

If yes, please provide their first and last name:

Is the attendee part of a group home or facility?:
yesno

If yes, What is the name of the home or facility?:

Attendee's date of birth:

Gender:
MaleFemale

Does attendee need restroom assistance?:
yesno

Does attendee have any food allergies?:
yesno

If yes, please list:

What types of triggers does attendee have?:

Does attendee have any sensory issues? (flowers, loud noises, etc):

What are the attendee's mobility issues? (if applicable):

Does the attendee have any other allergies? Please list if applicable:

Diagnosis:

Emergency Contact Name (First and Last):

Emergency Contact Phone Number including area code (XXX-XXX-XXXX)-:

N E W   L I F E   N I N E  // Pastor Larry & Sandra Linkous  &  

N E W   L I F E   E L EV E N  // Pastor Jason & Mindy Linkous