Night to Shine Klamath Volunteer Registration InformationName(Required) First Last DOB(Required) MM slash DD slash YYYY Gender(Required) Female Male Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)Parent Name (if under 18)Parent Phone (if under 18)Emergency Contact During Event(Required)Emergency Contact Phone(Required)Background CheckA current background check is required for ALL volunteers over the age of 18.I have had a background check within the last 12-18 months(Required) Yes No If no, contact REACH at [email protected] and they will perform a background check for you free of charge. Upload Copy of Background Check Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 50 MB, Max. files: 1. Special Skills/TrainingSpecial Skills/Training (Please check all that apply) Fluent in American Sign Language (ASL) Special Education Teacher Current Volunteer in Special Needs Ministry Healthcare Professional Other Healthcare Professional Field(Required)Other Skills(Required)Photo PermissionDo you give the Tim Tebow Foundation, Night to Shine Klamath Planning Team, and First Presbyterian Church permission to film or take a picture of you for promotional purposes?(Required) Yes No You will be asked to sign a media release form at the Night to Shine check-in the day of the event.Volunteer Role RequestIf you need more information on each role, check out the descriptions here.I Have Volunteered at Night to Shine Before(Required) Yes No Volunteer Role Requested (Please select your top three choices. We will consider your request but cannot guarantee a specific role)(Required) Activities Bathroom Attendant Buddy Buddy Check-In Floaters Flowers Food Prep Food Service Gift Takeaway Guest Registration Hair Makeup and Shoeshine Medical Paparazzi (Great for Youth Groups) Parking Red Carpet Respite Room Safety Security Sensory Room Set-Up Team (Night before) Social Media Photographer Tear Down (9pm February 7th) Transportation Volunteer Check-In Where I Am Needed Most Rank your Volunteer Roles (Please type in your selected roles as first, second and third.). We will consider your request but cannot guarantee a specific role.(Required)Rank Your Volunteer Roles (Please rank your selected roles. We will consider your request but cannot guarantee a specific role)– Fill Out Other Fields –To rank your roles please drag them to be in the order you would like.Are you a Hairdresser or Makeup Artist?(Required) Yes No Are you an Authorized Member of Local Law Enforcement?(Required) Yes No Are you a Certified EMS/EMT or Practicing Doctor or Nurse?(Required) Yes No Additional Notes or Concerns
