Night to Shine 2019 Guest Registration (One guest per form)

Friday, February 8, 2019 - Doors open at 5:30pm for pre-prom activities. Prom 6:00pm - 9:00pm | Please fill out this Guest Registration Form and click submit. After submitting, please check your email immediately for important details concerning tuxedo rentals and prom night.
You are invited to join us as our guest for Night to Shine, a prom designed especially for teens and adults with special needs being held on the evening of Friday, February 8, 2019. Use the form below to register for an evening of dancing, refreshments, a limo ride and the crowning of the prom kings and queens. A buddy will be provided for each guest to escort them throughout the event, ensuring they have the most enjoyable evening. Each guest must register individually. After completing this form, your confirmation will provide a link to submit another guest registration form if needed. Every guest MUST be 14 years of age or older.
 
 
 
 
 
 
 
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PARENT/GUARDIAN/AGENCY INFORMATION:
 
 
 
NIGHT OF EVENT CONTACT:
 
 
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AUTHORIZATION, CONSENT AND RELEASE:
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Night to Shine Parent/Caretaker Media & Liability Rights Release:
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EVENT LOCATION DETAILS: Friday, February 8, 2019 5:30pm - 9:00pm Reach Church - Summit Bridge Road Campus - 2880 Summit Bridge Road, Bear, DE 19701

Description

Friday, February 8, 2019 - Doors open at 5:30pm for pre-prom activities. Prom 6:00pm - 9:00pm
Please fill out this Guest Registration Form and click submit. After submitting, please check your email immediately for important details concerning tuxedo rentals and prom night.