Night to Shine 2025 Volunteer Registration

Night to Shine 2025

Night to Shine will be held at the Cox Business Convention Center located at 100 Civic Center, Tulsa, OK 74103 on February 7th, 2025 at 6:00pm. More details will be sent as we get closer to the date! If you don't have a current background check on file we will contact you for thanks for serving.
First Name*
Last Name*
Gender*

MaleFemale
Birthday*

MonthDayYear
Date
Under 16 - Must have parent or guardian at event *
Event Volunteer Opportunity*
Buddies/Escorts Team (must be 16 or older)
Date

MonthDayYear
Date
String 1
String 2
Number
Phone Number*
E-mail*
example@example.com
As part of volunteering for Night to Shine you will receive an email from Simply Verified (automation@instascreen.net) that will ask you to fill out information for a background check. Our goal is to provide the safest environment possible for our guests. Failure to fill out information for a background authorization will result in ineligibility for serving. Thanks for helping us make this the best night!
Background Check Authorization *I hereby authorize, without reservation, the obtaining of "consumer reports" or "investigative consumer" reports by The Assembly at any time after receipt of this authorization and throughout my employment or volunteer service, if applicable. I further authorize and request, without reservation, any present or former employer, school, police department, state or federal agency, financial institution, division of motor vehicles, consumer reporting agencies, or other and/or reassessed. I also agree that a fax or photocopy of this authorization with my signature should have the same authority of the original. By signing below, I certify: (1) that I have read and fully understand this disclosure and authorization I am providing is true, complete, correct and accurate: and (3) that I have received the attached summary of Your Rights under Fair Credit Reporting Act (15 U.S.C. 1681 et seq)The Following is information required in order for The Assembly to obtain a complete consumer report:*
Signature*
Media Consent
By checking the box below, and/or by participating in an event hosted by, sponsored by, or associated with the Tim Tebow Foundation and The Assembly at Broken Arrow, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a nonprofit corporation headquartered in Florida and The Assembly at Broken Arrow (“CHURCH”), an Oklahoma 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 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 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 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 the Participants and their 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 recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the States of Florida and Oklahoma, 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 the Media Consent and Liability Rights Release
Should be Empty:

Night to Shine 2025

Media Consent