*Would a person unfamiliar to the guest be able to understand the guest’s speech?
*If medication is required, a parent or caretaker MUST be available to administer the medication.
*If assistance is required, a parent or caretaker MUST be available to administer bathroom assistance.
*Does the guest have a friend attending Night to Shine that they would enjoy being with during the event?
*Should the guest be paired with an experienced volunteer or would the guest do well with any of our volunteers?
*Any other information that would be helpful for our volunteers to know to be able to best serve the guest?
Onsite Contact During Event (Will be listed on the guest's name tag):
Parent/Guardian Information (if applicable):
Care Provider Agency Information (if applicable):
Media Rights Release (required for participation):
By signing below, and for the good and valuable consideration of participating in an event hosted by New Life On Main Church.Org., Inc., 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 New Life On Main Church.Org., Inc., a North Dakota 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 New Life On Main Church.Org., Inc., 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 New Life On Main Church.Org., Inc., and to any benefits inuring to TTF and New Life On Main Church.Org., Inc. as a result of its use of any of the foregoing recordings. Among other things, TTF and New Life On Main Church.Org., Inc. 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 New Life On Main Church.Org., Inc., for the advancement of TTF and New Life On Main Church.Org., Inc.'s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and New Life On Main Church.Org., Inc. and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and New Life On Main Church.Org., Inc., 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.
Release and Agreement (required for participation):
In consideration of acceptance of my participation in “Night to Shine 2025” at New Life on Main located at 802 Lincoln Avenue, Harvey, North Dakota, hosted by New Life On Main Church.Org., Inc. on February 7, 2025, I hereby understand and acknowledge the following contractual representations and agreements:
1. Participation in this event/activity is entirely voluntary but may include physical and cardio effort. Before you engage in any event/activity of this type, you should consult with your doctor. By signing the form below, you fully realize the dangers of participation in an event/activity of this type and voluntarily assume all of the risks associated with such participation.
2. By signing the form below, you agree that you are solely responsible for your own health and safety during the above-referenced event/activity, and you fully release any and all claims against the event/activity organizers, your fellow participants/volunteers, New Life On Main Church.Org., Inc., The Tim Tebow Foundation, and any employees/volunteers of these parties for any injuries, loss or harm arising from your participation in this event/activity.
3. In the event that any one or more of the provisions of this Agreement shall be held to be invalid, unenforceable or in conflict with the law according to the jurisdiction of the State of North Dakota, Wells County, the remaining portions will not be invalidated and shall remain in full force and effect.
I acknowledge that I have read, understand, and agree to the terms of this Release and Agreement. This Release and Agreement represents my complete understanding regarding these issues and no oral representation, statements or inducements have been made apart from what is contained in this document.
