Church events at Livingston Christian Center in Livingston, Montana

Guest Registration

2025 Night to Shine Guest Registration

Guest Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

Date of Birth(Required)

Gender(Required)

Female

Male

Your Email Address(Required)

Your Phone(Required)

Fun Fact About You

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Will Medication be Administered During the Event?(Required)

Yes

Please Note:

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.

Guest Transportation: will guests be dropped off and picked-up?(Required)

Parent / Caretaker

Group Transportation

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.

Health Concerns / Mobility Needs:

Communication Needs:

Sensory Issues / Concerns:

Allergies:

Food Needs (food cut-up, gluten free, dairy free, nut free, etc.)

Additional Notes / Concerns You Would Like Us to Be Aware of:

Caretaker Name(Required)

First Last

Caretaker Phone(Required)

Caretaker relationship to Guest:(Required)

Caretaker Will:(Required)

Drop off Guests

Stay and Enjoy Respite Room

Chaperone Guest

If enjoying Respite Room*, please list Caretakers:

Name of Caretake #1(Required)

Name of Caretake #2

The Respite Room is where caretakers of guests can spend the evening enjoying a delicious dinner and dessert, games, and rest while remaining onsite during the event.

Care Provider Agency Information – if attending with a Group

Care Provider Agency / Group

Care Provider Agency Phone

Agency Chaperone Name, if applicable

Agency Phone, if applicable

CAPTCHA

Comments

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Friday, February 7, 2025

Time: 6:00pm - 9:00pm

2025 Night to Shine Guest Registration

Please Note:

2025 Night to Shine Volunteer

EVENTS

WEEKLY EVENTS

SUNDAYS

MONDAYS

Thursday

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