Treasure Coast Night to Shine
  • About
    • 2020 Photos
  • Kings & Queens
    • 2021 What to Expect
    • 2021 Registration
  • Volunteers
    • Volunteer Sign-Up
    • Training Video
    • Volunteer FAQ
  • Contact
  • Sponsors
    • Become a Sponsor
    • Donate
Night to Shine is open to individuals with disabilities ages 14 and up. 

    Guest Registration Form
    As of 1/8/2019-REGISTRATION IS CLOSED
    You may still join the wait list by completing the form below and will be notified if an opening becomes available.




    (Please list any that apply: foods, animals, latex, makeup, plantsor pollen, etc.)

    * Please note that the church, their staff and volunteers
    are not responsible for administering medication to guests during the Night to Shine event. If medication is
    required during the event, a parent or caretaker MUST be available to administer themedication.


    Parent/Caretaker Information

    * The Respite Room is a private area where parents/caretakers of guests can spend the evening enjoying food, entertainment and rest while remaining onsite during the event.

    Care Provider Agency Information – If Applicable

    If attending as a part of a group, please include agency or company name
    Note: Chaperone is not required to stay with guest(s) unless required by Care Provider Agency.

Submit Form

Thank you for checking out Treasure Coast Night to Shine


Telephone

(772) 528-2234
​(772) 216-3842

Email

Treasurecoastnighttoshine@gmail.com
Picture
  • About
    • 2020 Photos
  • Kings & Queens
    • 2021 What to Expect
    • 2021 Registration
  • Volunteers
    • Volunteer Sign-Up
    • Training Video
    • Volunteer FAQ
  • Contact
  • Sponsors
    • Become a Sponsor
    • Donate