Gender *
Wheelchair/Accessibility Device Dependent: *
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 taking public transportation to and from event? *
Will guest be attending as a part of a group that will provide transportation? *
Parent/Caretaker will be… *
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