Please Fill Out The Information Below To Volunteer For The Night To Shine
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Background checks are required for ALL volunteers over the age of 18.

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If no, you will be required to submit to a current background check. A fee will be required. 

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

All volunteers ages 14-18 MUST have Volunteer Permission Slip completed.

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2019 Night to Shine Participant Media Rights Release

By  signing  below,  and  for  the  good  and  valuable  consideration  of  participating  in  an  event  hosted  by  Sikeston First Assembly of God,  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  Sikeston First Assembly of God,  a  MO  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  Sikeston First Assembly of God,  without  royalty  or  other  compensation  now  or  in  the future,  all  rights  of  every  kindand  character  whatsoever,  in  perpetuity,  in  and  to  any  and  all  such  recordings,  along  withany  additional  recordings  I  might  provide  to  TTF  and Sikeston First Assembly of God,  and  to  any  benefits  inuring  to  TTF  and  Sikeston First Assembly of God  as  a  result  of  its  use  of  any  of  the  foregoing  recordings.  Among  other  things,  TTF  and  Sikeston First Assembly of God  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,  allfor  the  sole  benefit  and  at  the  sole  discretion  of  TTFand  Sikeston First Assembly of God,  for  the  advancement  of  TTF  and  Sikeston First Assembly of God’s  exempt  charitable  purposes.  

All  permissions  granted  herein  extend  to  any  successor  or  assign  of  TTF  and  Sikeston First Assembly of God  and  bind  me  and  my  heirs,  successors,  and  assigns.  I,  hereby  release  and  discharge  and  agreeto  hold  harmless  TTF  and  Sikeston First Assembly of God,  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,  arisingfrom  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  theright  to  contract  in  my  own  name.

Indemnity and Release Form 2019 - Sikeston First Assembly of God

I, the undersigned, wish to voluntarily participate in the (NTS) Night to Shine prom for special needs individuals sponsored by the Tim Tebow foundation.

In consideration for being permitted to participate in the NTS, in the city of Miner, the state of MO, and country of USA, beginning the 9th day of February, 2019, I, the undersigned, fully recognizing the dangers and hazards inherent in the NTS, and any related transportation, including personal injury, property damage, or wrongful death, as well as the unknown dangers and hazards which may arise in the course of my participation in the NTS,

do hereby voluntarily:

Agree, for myself, my heirs and my personal representative, to defend, hold harmless, indemnify, release and forever discharge, to the broadest extent allowed by law, Sikeston First Assembly of God and the Tim Tebow Foundation, its trustees, officers, employees, agents, insurers, successors, assigns, from and against any and all claims, demands, actions, or causes of action on account of any damage to real or personal property or any personal injury or death that may result from my participation in the above NTS.

I have read this release, I understand it fully, I understand that it is legally binding, and I understand that, among other things, I am agreeing to indemnify Sikeston First Assembly of God and the Tim Tebow Foundation, for injuries, damages or losses I may cause and giving up rights to sue Sikeston First Assembly of God and the Tim Tebow Foundation for injuries, damages or losses I may incur.

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