NTS Volunteer Registration

PERSONAL DETAILS

First and Last Name

Preferred name on name tag (if different)

What is your age on February 13, 2026?

Gender

Address

Phone

This address will receive a confirmation email

Introduce yourself in a few sentences. What are some fun facts about you?

Parent Name (if under 19)

Parent Phone (if under 19)

Emergency Contact (during the event)

Emergency Contact phone (during the event)

EXPERIENCE

Special skills/training (Please check all that apply) Fluent in American Sign Language (ASL) Special Education teacher/training Education Assistant Healthcare Professional Volunteer experience with people with diverse abilities Experience with Assistive Speaking technology

I have volunteered at Night to Shine in the past

Yes No

Do you have any experience working with individuals with diverse abilities? If yes, please explain.

Have you worked with individuals who are nonverbal?

Do you speak any other languages? If yes, which one(s):

HEALTH INFORMATION

Do you have any dietary restrictions or requirements? If yes, please list them.

Allergies (i.e. food, environment, animals, etc.)

BACKGROUND CHECK

Are there any circumstances involving your lifestyle or background that would call into question your ability to work with vulnerable people or people with diverse abilities?

Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted (excluding minor traffic violations)?

Have you ever been expelled from or had your employment terminated by any organization or employer for assault, violence or impropriety against a child, youth or any other individuals deemed vulnerable (e.g. senior citizen or person with diverse abilities)?

Have you ever been a defendant or respondent in a civil lawsuit or human rights complaint or other legal proceeding in which you were alleged to have abused or engaged in violence, harassment or other immoral or illegal behaviour or conduct involving vulnerable people?

If you have answered yes to any of the four previous questions, please explain.

MEDIA RIGHTS RELEASE (Volunteer)

By signing below, and for the good and valuable consideration of participating in an event hosted by Home 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 Home Church (“CHURCH”), a registered Canadian charity, 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.

Vounteer's First and Last name

Parent's First and Last name (if guest is under age 19)

Today's date

WAIVER

I understand that should I be offered a position with Home Church, I will be required to undergo a background check, including a criminal record check. I hereby consent to a check of criminal charges and convictions to determine whether I have a conviction or outstanding charge for any relevant or specified offence(s) under the Criminal Records Review Act. I hereby consent to a Vulnerable Sector search to check if I have been convicted of and received a record suspension (formerly known as a pardon) for any sexual offences as per the Criminal Records Act. I understand that as part of the Vulnerable Sector search, I may be required to submit fingerprints to confirm my identity. I also consent to background reference checks.

By signing below, I confirm that all the information provided in this form is truthful and has been filled out to the best of my ability. I confirm that I, the applicant was the one to complete this application and that no one else completed this application on my behalf. I understand that I will be required to attend all training sessions to be able to volunteer at Night to Shine.

Volunteer's First and Last name

Parent's First and Last name (if guest is under age 19)

Today's date

REFERENCES

We require three references.

If you currently attend church, one reference must be from a pastor OR

If you are currently a student under the age of 16, please enter your parents as your references OR

If you are currently a student in high school and not volunteering with your parent, one reference must be from a school teacher OR

If you are age 19 and older, one reference must be from an organization that you are volunteering at or your work supervisor.

Reference #1: Name, relationship, email address

Reference #2: Name, relationship, email address

Reference #3: Name, relationship, email address

OTHER

How did you hear about us?

If you were referred by a specific person, please provide their name.

Other comments

NTS Volunteer Registration

Description

Please Fix the Following