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    • What’s Next?
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Return to the CCWC homepage.
  • About
    • Our Leadership Team
    • Our Beliefs
    • Events
  • NEXT STEPS
    • What’s Next?
    • Care + Support
    • Embrace Grace
    • CCWC Kids
    • First Friends Daycare/Preschool
    • Youth
    • Night To Shine Volunteer Registration
  • Watch + Listen
    • Watch Online
    • Podcast
    • You Version App
    • Sermon Notes and Announcements
  • Give
  • Contact
    • Contact
    • Prayer
  • Resources
    • Facility Request
    • Ministry Event Form
    • Employment

Night To Shine Guest Registration

Guest Information

Name(Required)
Email(Required)
MM slash DD slash YYYY
Gender
Address
Emergency Contact during event (will be listed on guest's name tag)
Wheelchair/Accessibility Device Dependent
Special Communication Needs
Food Needs (food cutup or pureed, gluten free, dairy free, etc)
Will Need Medication Administered during event
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 the medication
Will guest be dropped off and picked up by a parent/caretaker?
Will guest be attending as a part of a group that will provide transportation?
Will guest want to do karaoke?

Parent/Caregiver Information

Parent/Caregiver Name(Required)
Parent/Caregiver Address(Required)
Parent/Caretaker will be…
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

(Note: Chaperone is not required to stay with guest(s) unless required by Care Provider Agency)

Media Release

Media Release Consent
By signing below, and for the good and valuable consideration of participating in an event hosted by Christ Community Wesleyan 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 Christ Community Wesleyan Church (“CCWC”), an Ohio 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 CCWC, 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 CCWC as a result of its use of any of the foregoing recordings. Among other things, TTF and CCWC 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 CCWC, for the advancement of TTF and CCWC’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and CCWC and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and CCWC, 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.
Name of Participant
MM slash DD slash YYYY
Address of Parent/Caregiver

 

Our Services

Sunday
9:00am Worship + Children
10:30am Worship + Children

6:00-7:30 pm LIFE Youth Ministry (7th-12th Grades)
THRIVE Kid's Ministry (Preschool-6th Grade)

6:00-7:30 pm Adult Community Collective Groups

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Contact Us

6275 Kenney Memorial Ln
Albany, OH 45710

Office Hours:
Monday-Thursday 8:00 AM-4:00 PM

Phone: 740.698.2292
Text: 740.229.9898

EMAIL US

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