Night to Shine 2022 St. Charles Missouri

“Shine-Thru” Registration

Friday, February 11, 2022
Messiah Lutheran Church
5911 MO-94
St. Charles, MO 63304

To Our Honored Guests

Night to Shine is a prom experience for individuals age 14 and over with special needs. It is a FREE event for registered Guests. In response to the Covid-19 pandemic, the prom experience in 2022 will be a virtual event that Guests will watch from their home. The “Shine-Thru” is a pre-prom celebration on Messiah’s campus that our Guests are invited to experience from their car. At the end of the “Shine Thru,” Guests will receive a Night to Shine virtual experience gift kit to take home. The “Shine-Thru” will take place between 4:30-6:30 p.m. on Friday, February 11, 2021. The virtual prom experience can occur any time that evening that is convenient for the Guest.

Advance registration for Night to Shine is required to participate in the “Shine-Thru” and virtual prom.

For questions, contact Stephanie Silbey at ssilbey@messiahnetwork.org or (636) 926-9773.

GUEST REGISTRATION

   
(Strobe Lights, Camera Flashes, Loud Noises, etc.)
(Food cut-up or pureed, Gluten Free, Dairy Free, Nut Free, etc.)
(Please list any that apply: Foods, Animals, Latex, Make-up, Plants, or Pollen, etc.)
Please enter zero if you selected "I will not be attending the Shine Thru" above.
(If attending as part of a group, please include agency or company name.)
Messiah Lutheran Church & School General Liability Waiver: In consideration of my participation, I agree and understand that I assume the risks inherent in my participation of this event, and with full knowledge of the risks, I agree to hold harmless Messiah Lutheran Church and its employees and assigned representatives from claims arising or related to my participation. I hereby accept all injury and risk to health that may result from such participation and release Messiah Lutheran Church, its employees and representatives from any and all liability to me or for all and any claims and causes of action for loss of or damage to my property and for any and all illness or injury to my person, including death, that may result from or occur during my participation in the event or means of transportation to or from the event, whether caused by negligence of Messiah Lutheran Church, its employees or representatives or otherwise. I consent and give permission for emergency medical care that may be needed as a result of my participation. Agreed to and accepted: (PLEASE SIGN FULL GUEST NAME; if under 18, PARENT/GUARDIAN should sign): *
Night to Shine Media Rights Release: By signing below, and for the good and valuable consideration of participating in an event hosted by Messiah Lutheran Church, 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 Messiah Lutheran Church (“CHURCH”), a Missouri 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 CHURCH, 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 CHURCH, and to any benefits inuring to TTF and CHURCH as a result of its use of any of the foregoing recordings. Among other things, TTF and CHURCH 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 CHURCH, for the advancement of TTF and CHURCH’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and CHURCH and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and CHURCH, 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. Agreed to and accepted: (PLEASE SIGN FULL GUEST NAME; if under 18, PARENT/GUARDIAN should sign): *

To opt out of the media rights release, please contact Stephanie at the number above.Thank you for registering for the Night to Shine “Shine-Thru” and virtual prom in 2022. You will receive an email verifying receipt of your registration. If you don’t hear from Messiah within a few days, please follow-up. We can’t wait to see you!

Worship Times

Worship with us in-person on
Sundays at 9:00 & 10:30AM  (CST).
9:00 service is livestreamed and
then available on demand.

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