NTS Guest Registration - Northside Community Church

Night to Shine 2024

Guest registration

We can’t wait to see all of our Kings🤴& Queens👸 on Saturday, February 10, 2024!

Every guest must be registered prior to the event so we can ensure proper staffing & resources.

Please complete the below form for each guest who is registering for Night to Shine 2024.

Parents, chaperones and carers please see the details at the end of the form.

Name(Required)

First Last

DOB(Required)

Phone(Required)

Email(Required)

Gender(Required)

Address(Required)

Street Address Address Line 2 Suburb

Fun Facts About You

Emergency Contact Person During the Event(Required)

Emergency Contact Person Phone(Required)

Health Concerns - Write N/A if none.(Required)

Wheelchair/Accessibility Device Dependent(Required)

Special Communication Needs - If Yes, please provide details

Sensory Issues/Concerns (eg flashing lights, camera flashes, loud noises etc.) - Write N/A if none(Required)

Allergies - Please list any that apply: Foods, Animals, Latex, Make Up , Plants, Pollen etc. If None, please write N/A(Required)

Special Dietary Requirements - If yes, please provide details.

Will Medication need to be administered/taken during the event? - Please note that no person at Night to Shine will be responsible for administering medication to guests. If medication is required during the event, a parent or caretaker must be available to administer the medication.

How will you be getting to the event, and how will you be going home after the event?(Required)

Parent / Caregiver Name(Required)

First Last

Parent / Caregiver Email - This email address will receive a confirmation email(Required)

Parent / Caregiver Phone(Required)

Care Provider Agency (If Applicable)

Care Provider Agency Phone (If Applicable)

Any Other Notes or Concerns?

Guest Signature - Please Type your Name Here(Required)