Volunteer Application

Please complete the form below to apply to volunteer at our Night to Shine event. Please complete a separate form for each volunteer.

Name(Required)

First Last

Contact Email(Required)

Contact Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth

Gender(Required)

Name as you wish to appear on nametag(Required)

Additional Information

Parent Name (if under 18)

First Last

Parent Phone (if under 18)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Special Skills/Training(Required)

(examples: ASL, Special Ed Teacher, Healthcare Professional, etc.

Have you volunteered at a Night to Shine before?(Required)

Volunteer Role Requested (Please mention top three choices in comments. We will consider your request but cannot guarantee specific role)(Required)

(Please see the Volunteer page for a complete list.)

Additional Notes

Media Rights Release

By signing below, and for the good and valuable consideration of participating in an event hosted by First Baptist Church of Brunswick (and all other sponsors), 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 First Baptist Church of Brunswick (and all other sponsors) (“First Baptist Church of Brunswick (and all other sponsors)”), 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 First Baptist Church of Brunswick (and all other sponsors), 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 First Baptist Church of Brunswick (and all other sponsors), and to any benefits inuring to TTF and First Baptist Church of Brunswick (and all other sponsors) as a result of its use of any of the foregoing recordings. Among other things, TTF and First Baptist Church of Brunswick (and all other sponsors) 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 First Baptist Church of Brunswick (and all other sponsors), for the advancement of TTF and First Baptist Church of Brunswick (and all other sponsors)’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and First Baptist Church of Brunswick (and all other sponsors) and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and First Baptist Church of Brunswick (and all other sponsors), 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 Maryland, 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.

I agree to terms(Required)

Name of Participant(Required)

First Last

Electronic Signature of Participant (If over age 18)

First Last

Electronic Signature of Parent Caretaker/Legal Guardian (if participant under age 18)

First Last

Today's Date(Required)

If you have any issues with this form, please contact us

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Comments

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