Friday, March 20th 6 – 9 PM

An unforgettable prom experience, centered on God’s love, for people with special needs ages 13 & up.

2020 Shining Star Prom Guest Registration
  • (Please list any that apply: foods, animals, latex, makeup, plants or pollen, etc.)
    *Please Note that the Church, Their staff and volunteers are not responsible for administering medication to guest during the Shining Star Event. if medication is required during the event, a parent or caretaker MUST be available to administer the medication.
  • Parent/Caretaker Information

  • * The Respite Room is a private area where parents/caretakers of guests can spend the evening enjoying food, entertainment and rest while remaining onsite during the event.
  • Care Provider Agency Information – If Applicable

  • Name:
Shining Star Volunteer Registration

Shining Star volunteer Registration

  • Volunteer Registration for age 14 - Adult

    Information
  • Background checks are required for all Volunteers.

  • Name:
  • Permission to obtain a Background Check

    (This form authorizes Living Hope Church to obtain background information and must be completed by the applicant. The church must keep this complete form on file for at least two years after requesting a background check.) I, the undersigned applicant (also known as “consumer”), authorize Living Hope Church through its chosen independent contractor, to procure background information (also known as a “consumer report and/or investigative consumer report”) about me. This report may include my driving history; include any traffic citations; criminal and civil history/records; and the state sex offender records. I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request to Living Hope Church if such is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act. Identifying Information for Background Information Agency (aka “Consumer Reporting Agency”)