Night To Shine 2025

Pittsboro UMC

Presented by Tim Tebow Foundation

When: Friday, February 7th, 2025

Where: Lizton Lodge

Host Coordinator:  Amy Mohney

Night to Shine Registration & Applications 2025

Volunteer Registration-Adult
Volunteer Registration Adult

Volunteer Registration Adult

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Volunteer Information

A current background check is required for ALL volunteers over the age of 18.

***If you volunteered for Night to Shine in 2024 we have your background check.

If you are under the age of 18, a permission slip signed by your parent/guardian is required to volunteer.     

Remit form to: Pittsboro United Methodist Church Office – Attn Night To Shine

227 E Main St, Pittsboro, IN 46167

Volunteer Registration-Minor
Volunteer Registration (Under 18 Minor)

Volunteer Registration (Minor)

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Volunteer Information

A current background check is required for ALL volunteers over the age of 18.

If you are under the age of 18, a permission slip signed by your parent/guardian is required to volunteer. 

MEDIA AND LIABILITY RELEASE AGREEMENT

EVENT: Night to Shine Event hosted by Pittsboro United Methodist Church (PUMC) at the Lizton Lodge, sponsored in part by or associated with the Tim Tebow Foundation (TTF).

By signing below, I, the undersigned participant, hereby acknowledge and agree to the terms and conditions outlined in this Media and Liability Release Agreement ("Agreement") with the understanding that in consideration for my participation in the Night to Shine event, the Tim Tebow Foundation, Inc. (TTF), Pittsboro United Methodist Church (PUMC), and The Lizton Lodge (hereinafter collectively referred to as "Releases") are granted certain rights and releases from liability.

MEDIA RELEASE: I hereby give my full consent to TTF, PUMC, and The Lizton Lodge 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 during the Night to Shine event. I grant these rights without any royalty or other compensation now or in the future.

I also grant the aforementioned entities all rights of every kind and character whatsoever, in perpetuity, in and to any and all recordings made during the event, along with any additional recordings I might provide, for the sole benefit and at the sole discretion of TTF and PUMC for the advancement of their exempt charitable purposes.

WAIVER AND RELEASE OF LIABILITY: In exchange for the opportunity to participate in the Night to Shine event, I hereby waive any and all rights, claims, or causes of action arising out of my participation, including, but not limited to, any injury, accident, illness, or other occurrence. I release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims or damages, including defamation, violation of rights or privacy, or publicity, arising from or associated with the recordings or use of recordings.

I further release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims relating to any physical or psychological injury which I may suffer as a direct or indirect result of my participation in the Night to Shine event.

ASSUMPTION OF RISK: I acknowledge that I am voluntarily participating in the Night to Shine event entirely at my own risk. I am aware of the risks associated with the participation in this activity, including, but not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others' negligence, conditions related to travel to and from the activity, or from conditions at the activity location(s). Nonetheless, I assume all related risks, both known and unknown to me.

GOVERNING LAW: This release shall be construed, interpreted, and governed in accordance with the laws of the State of Florida. Should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions.

I affirm that I am of full age and have the right to contract in my own name.

Remit form to: Pittsboro United Methodist Church Office – Attn Night To Shine

227 E Main St, Pittsboro, IN 46167

Volunteer Permission Slip-Minor
Volunteer Permission Slip (Volunteers Under Age 18)

Volunteer Registration Permission Slip (Minor Under 18)

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Parent Consent Agreement

I am the parent/legal guardian of the above named minor.
Minor may work until 11:00 p.m

Volunteer Information (Minor Under 18)

MEDIA AND LIABILITY RELEASE AGREEMENT

EVENT: Night to Shine Event hosted by Pittsboro United Methodist Church (PUMC) at the Lizton Lodge, sponsored in part by or associated with the Tim Tebow Foundation (TTF).

By signing below, I, the undersigned participant, hereby acknowledge and agree to the terms and conditions outlined in this Media and Liability Release Agreement ("Agreement") with the understanding that in consideration for my participation in the Night to Shine event, the Tim Tebow Foundation, Inc. (TTF), Pittsboro United Methodist Church (PUMC), and The Lizton Lodge (hereinafter collectively referred to as "Releases") are granted certain rights and releases from liability.

MEDIA RELEASE: I hereby give my full consent to TTF, PUMC, and The Lizton Lodge 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 during the Night to Shine event. I grant these rights without any royalty or other compensation now or in the future.

I also grant the aforementioned entities all rights of every kind and character whatsoever, in perpetuity, in and to any and all recordings made during the event, along with any additional recordings I might provide, for the sole benefit and at the sole discretion of TTF and PUMC for the advancement of their exempt charitable purposes.

WAIVER AND RELEASE OF LIABILITY: In exchange for the opportunity to participate in the Night to Shine event, I hereby waive any and all rights, claims, or causes of action arising out of my participation, including, but not limited to, any injury, accident, illness, or other occurrence. I release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims or damages, including defamation, violation of rights or privacy, or publicity, arising from or associated with the recordings or use of recordings.

I further release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims relating to any physical or psychological injury which I may suffer as a direct or indirect result of my participation in the Night to Shine event.

ASSUMPTION OF RISK: I acknowledge that I am voluntarily participating in the Night to Shine event entirely at my own risk. I am aware of the risks associated with the participation in this activity, including, but not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others' negligence, conditions related to travel to and from the activity, or from conditions at the activity location(s). Nonetheless, I assume all related risks, both known and unknown to me.

GOVERNING LAW: This release shall be construed, interpreted, and governed in accordance with the laws of the State of Florida. Should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions.

I affirm that I am of full age and have the right to contract in my own name.

Remit form to: Pittsboro United Methodist Church Office – Attn Night To Shine

227 E Main St, Pittsboro, IN 46167

This form must be completed and kept at the location where minor is volunteering.

Honored Guest Application
Honored Guest Application

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Honored Guest Information

* 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.

We would love to make your Night to Shine experience the best it can possibly be. If you are comfortable sharing, please answer any of the following optional items that apply in order to help us offer the best support we can.

Caretaker Information

* The Respite Room is a private area where caretakers of guests can spend the evening enjoying food, entertainment, and rest while remaining onsite during the event.  

During the event we will be live streaming the event in the Respite Room.  Parents/Caretakers will NOT have the opportunity to visit the prom area during the event.

 

MEDIA AND LIABILITY RELEASE AGREEMENT

EVENT: Night to Shine Event hosted by Pittsboro United Methodist Church (PUMC) at the Lizton Lodge, sponsored in part by or associated with the Tim Tebow Foundation (TTF).

By signing below, I, the undersigned participant, hereby acknowledge and agree to the terms and conditions outlined in this Media and Liability Release Agreement ("Agreement") with the understanding that in consideration for my participation in the Night to Shine event, the Tim Tebow Foundation, Inc. (TTF), Pittsboro United Methodist Church (PUMC), and The Lizton Lodge (hereinafter collectively referred to as "Releases") are granted certain rights and releases from liability.

MEDIA RELEASE: I hereby give my full consent to TTF, PUMC, and The Lizton Lodge 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 during the Night to Shine event. I grant these rights without any royalty or other compensation now or in the future.

I also grant the aforementioned entities all rights of every kind and character whatsoever, in perpetuity, in and to any and all recordings made during the event, along with any additional recordings I might provide, for the sole benefit and at the sole discretion of TTF and PUMC for the advancement of their exempt charitable purposes.

WAIVER AND RELEASE OF LIABILITY: In exchange for the opportunity to participate in the Night to Shine event, I hereby waive any and all rights, claims, or causes of action arising out of my participation, including, but not limited to, any injury, accident, illness, or other occurrence. I release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims or damages, including defamation, violation of rights or privacy, or publicity, arising from or associated with the recordings or use of recordings.

I further release and discharge TTF, PUMC, and The Lizton Lodge, along with their directors, officers, employees, volunteers, and independent contractors, from any claims relating to any physical or psychological injury which I may suffer as a direct or indirect result of my participation in the Night to Shine event.

ASSUMPTION OF RISK: I acknowledge that I am voluntarily participating in the Night to Shine event entirely at my own risk. I am aware of the risks associated with the participation in this activity, including, but not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others' negligence, conditions related to travel to and from the activity, or from conditions at the activity location(s). Nonetheless, I assume all related risks, both known and unknown to me.

GOVERNING LAW: This release shall be construed, interpreted, and governed in accordance with the laws of the State of Florida. Should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions.

I affirm that I am of full age and have the right to contract in my own name.

Remit form to: Pittsboro United Methodist Church Office – Attn Night To Shine

227 E Main St, Pittsboro, IN 46167

Discover the ultimate playlist curated by our talented DJ, available for your listening pleasure anytime, anywhere! Simply search “Night to Night 2024” on Spotify, look for the PUMC logo, and hit follow to never miss a beat.

We hope this helps give you a better sense of the evening and all the details that we have planned to make this an unforgettable night for your special guest. If you would like to know more about Tim Tebow’s Night to Shine foundation, you can visit their website here: https://timtebowfoundation.org