Guest Registration – King Street Church at Antrim Church

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NIGHT TO SHINE 2025

February 7, 2025 — 6:00-9:30 pm (event doors open at 6:00 pm, those who have registered in advance for salon services may arrive at 5:30 pm)
Sponsored by the Tim Tebow Foundation
Hosted by King Street Church
at Antrim Brethren in Christ Church
(24 Kauffman Rd East, Chambersburg, PA 17201)

IMPORTANT: This website is for registration at the event hosted by King Street Church at Antrim Brethren in Christ Church. There are also events nearby at Grand Point Church (Chambersburg) and Hub City Vineyard Church (Hagerstown). If one of these locations might suit you better, you may want to search for that event now and consider registering there. REGISTER FOR ONLY ONE EVENT! Do not sign up at multiple locations as this causes confusion and eliminates a spot for someone else. After completing our online registration you will receive a confirmation email that will remind you which location you registered to attend.

LOCATION: Antrim Brethren in Christ Church, 24 Kauffman Rd East, Chambersburg, PA 17201

LADIES: For ladies who might need a dress, a boutique will be held on Saturday, January 11, 2025, at King Street Church. Please come from 9:00 am to 12:00 noon, to select an appropriate dress for your special evening. We will have people available to make alternations should that be necessary.

GENTLEMEN: This year we have a new way to select your evening wear. Join us at King Street Church on Saturday, January 11, 2025, from 9:00 am to 12:00 noon. Our Men’s Shop will have evening wear available for you to use for your special evening.

PARENTS/CAREGIVERS: You will have an opportunity to see your guest crowned and walk the red carpet via video stream. We will have you relax with others in our Hospitality Room, or you may leave and return for pick-up. You too will also enjoy a hot meal and fellowship while you wait.

CONFIRMATION: Please make sure to check your spam folder if you don’t see your confirmation email. If you do not receive a confirmation email, your registration my not have transmitted properly!

GROUP REGISTRATIONS: If you are registering for a group of people, such as for a group home, or those all living in the same household with the same caregiver, please register at this page: GROUP REGISTRATION

The evening is limited to 130 guests. A wait list will be created after the limit is reached.

Night to Shine Guest Registration 2025

Name
First Last
Name as you wish it to appear on a name tag:
Date of Birth
MM slash DD slash YYYY
Gender
- Male
- Female
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
What is a fun fact about you?
Emergency Contact Person
First Last
Emergency Contact Phone
Please describe any health concerns:
Do you use a wheelchair?
- Yes
- No
Are there special communication needs?
- Yes
- No
If you marked "yes" to indicate that their are special communication needs, please explain:
Please describe any sensory issues/concerns (strobe lights, camera flashes, loud noises, etc):
Please describe any allergies (food, latex, makeup, plant or pollen allergies, etc):
Do you have any special food needs (food cut up or pureed, gluten-free, etc)?
- Yes
- No
If you marked "yes" to indicate that their are special food needs, please explain:
Formal attire (evening wear) is encouraged. If you would like assistance with obtaining formal wear, attend the Men's Shop/Ladies Boutique on Saturday, January 11, 2025 from 9:00 am until 12 noon at King Street Church (162 E King Street, Chambersburg PA). Do you plan to attend the Men's Shop/Ladies Boutique?
- Yes
- No
If "yes," what is your size?
HAIR SERVICE: We are offering a Beauty Salon on Friday, February 7, at 5:30 pm. Are you interesting in coming and having your HAIR done by a professional?
- Yes
- No
MAKE-UP SERVICE: We are offering a Beauty Salon on Friday, February 7, at 5:30 pm. Are you interesting in coming and having your MAKE-UP done by a professional?
- Yes
- No
MANICURE: We are offering a Beauty Salon on Friday, February 7, at 5:30 pm. Are you interesting in coming and having your FINGERNAILS painted?
- Yes
- No
Each guest will be assigned a "buddy" for the evening. The buddy MAY NOT be another guest, but may be a caretaker. Please note, caretakers will also need to fill out a volunteer registration (signing up to be a buddy) and will need to attend a training session so that they know what to expect at the event. Do you have a buddy you would like to request?
- Yes
- No
If you marked "yes," is the buddy you want to request your CARETAKER?
- Yes
- No
If you marked "yes," that you are requesting a certain person as your buddy, list their name here:
First Last
If you requested a buddy who is NOT your caretaker, list their contact information here if you know it:
Parent/Caretaker's name:
First Last
Parent/Caretaker's phone:
Parent/Caretaker's address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Caretaker's email:
The parent/caretaker will be:
- Dropping Guest Off
- Staying On-Site (we will offer a room where a parent/caretaker can wait during the event, but please, only TWO as space is very limited.)
Care Provider Agency (if applicable):

IF attending as part of a group, please include agency or company name.
Care Provider Agency phone (if applicable):
Agency chaperone (if applicable):
First Last
Additional notes or concerns:
NIGHT TO SHINE PARTICIPANT MEDIA & LIABILITY RIGHTS RELEASE: By signing below, and/or by or in consideration for participating in an event hosted by, sponsored by, or associated with the Tim Tebow Foundation and Antrim Brethren in Christ Church/King Street Church, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered in Florida and Antrim Brethren in Christ Church/King Street Church (ABIC/KSC), which are PA nonprofit corporations, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, the actions, physical likeness, biographical information, and/or voice of me and/or any person of whom I am the parent or legal guardian, including minor children (collectively referred to as the “Participants”). Additionally, I hereby grant to TTF and ABIC/KSC, 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 ABIC/KSC, and to any benefits inuring to TTF and ABIC/KSC as a result of its use of any of the foregoing recordings. Among other things, TTF and ABIC/KSC may, but is 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 ABIC/KSC, for the advancement of TTF and ABIC/KSC’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and ABIC/KSC and bind the Participants and their heirs, successors, and assigns. I, on behalf of all Participants, hereby release and discharge and agree to hold harmless TTF and ABIC/KSC, 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 recording or use of the 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 and for each Participant. The above release applies to both participants and family/caregivers who are staying on-site.
- Check that you have read the release and acknowledge that checking this box constitutes a legal signature confirming that you acknowledge and agree to the above Rights Release.
Signature
Please list today's date for your signature:
MM slash DD slash YYYY
IF CARETAKER IS STAYING ON-SITE, THEY MUST ALSO SIGN
- Check that you, the Caretaker, have read the release and acknowledge that checking this box constitutes a legal signature confirming that you acknowledge and agree to the above Rights Release.
Signature of Caretaker
I understand by checking this box, that I should expect to receive a confirmation email that lets me know I am properly registered. I will watch for this email (check junk box as well) and if I do not receive it within 24 hours of my registration, I will know that my registration may not have transmitted properly. I will contact Jim Roberts at robertsj@gmail.com.
- I understand
By checking this box, I acknowledge that even though King Street Church is the host church, that the event location is at Antrim Brethren in Christ Church (24 Kauffman Rd E, Chambersburg, PA 17202)
- I understand
COMMUNICATIONS RELEASE
- Telephone
- Text Messages
- Email
- Please maintain contact through the parent/guardian only.
- I do not give permission for TTF staff to contact the participant.
I acknowledge TTF staff members and/or volunteers may contact the Participant to discuss their experience at the event, encourage, pray for, or receive general updates. I hereby give my full consent to TTF to contact the Participant after the event directly through the following means: