Night to Shine - Waycross

Volunteer Form (Over 18)

Address

Street Address *

City *

State *

Country *

Postal code *

Special Skills/Training (Please check all that apply)

Fluent in American Sign Language (ASL)

Special Education Teacher

Healthcare Professional

If a Health Care Professional, please specify field below

Healthcare Professional Field

Have you volunteered with Night to Shine before? *

Yes

No

Please choose your top 3 choices for volunteer request. We will consider this request but cannot guarantee a specific role.

Additional Notes or Concerns

A background check is required for ALL volunteers over the age of 18.

Liability Release

I agree to hold One Church and its agents and employees harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to myself or any family member present, even injury resulting in death, which may now exist, or which may arise in the future in connection with the activity or participation in any other associated activities.

Liability Release Signature *

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Night to Shine Participants Media Rights Release

By signing below, and for the good and valuable consideration of participating in an event hosted by CHURCH, and sponsored in part by or associated with the Tim Tebow Foundation, I hereby give my full consent to Tim Tebow Foundation, Inc., ("TTF") a Georgia nonprofit corporation headquartered in Florida and CHURCH ("CHURCH"), a STATE nonprofit corporation, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, my actions, physical likeness, biographical information, and/or voice.

Additionally, I hereby grant to TTF and CHURCH, without royalty or other compensation now or in the future, all rights of every kind and character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional recordings I might provide to TTF and CHURCH, and to any benefits inuring to TTF and CHURCH as a result of its use of any of the foregoing recordings. Among other things, TTF and CHURCH may, but are not required to, copy or reproduce the recording, edit or modify it, incorporate it into another work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and CHURCH, for the advancement of TTF and CHURCH's exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and CHURCH and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and CHURCH, its directors, officers, employees, volunteers, and independent contractors, from any and all claims or damages, including but not limited to defamation or violation of rights of privacy or publicity, arising from or associated with the recordings or use of recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. I am of full age and have the right to contract in my own name.

Media Rights Release Signature

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SMS Notifications Agreement *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

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Night to Shine Waycross

If Volunteer is under 18 please fill out the form here instead.