Night of the Stars 2025 Team Member Registration

Night of the Stars Team Member

For ages 14+
Night of the Stars is A fun filled Prom for Special Needs Guests 14 & older. Dinner, dancing & karaoke are just a few things included in this free event.

Date of event: May 2nd, 2025 - Event starts at 6pm. Check in for Team Members will start at 4pm. See description as days/times may vary depending upon the role you choose.

West Ridge will provide Childcare for children under the age of 14. Pre-registration is required and can be done using this form when you register to volunteer.

THIS FORM IS NOT FOR GUEST PARTICIPANTS.
Registration for Team Members is Closed
Late Registrants Code

Team Member Name*

First NameLast Name
Email*
example@example.com
Primary Phone Number*
Address*

Street Address

Apt or Lot # - Not required

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
All Team Members must be Ages 14+ before May 2nd, 2025
Gender

Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Phone Number*
Emergency Contact During Event

(Parent info if under 18)
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Emergency Contact Email Address
example@example.com
Emergency Contact Relationship*
Ex: Spouse, Parent, Grandparent, etc.

Waiver of Liability
I agree and understand that use of any facilities, services, equipment or premises of this Church (collectively, “Facilities”), and the participation in ministry events (“Ministry Events”), including but not limited to student camps, small groups in homes, group outings, and dances involve risks of injury to my person and property and to the person or property of any minor for whom I have guardianship and have requested or allowed entry to or use of the Facilities or participation in the Ministry Events. By engaging in such use or participation, or permitting such use or participation, I voluntarily accept and assume full responsibility for such risks. Therefore, in consideration of such use or such participation, I agree that West Ridge Church, its successors, affiliates, and related entities, and their respective directors, officers, members, managers, employees, volunteers, independent contractors, agents, and insurers (collectively, "West Ridge Church") will not be liable for any injury to my person or property.

Further, on behalf of myself, my heirs (including any Minors), personal representatives and assigns, for the ability to use the Facilities or participate in the Ministry Events, I, if applicable, do hereby release, discharge and hold harmless West Ridge Church from any and all liability and claims arising from my use of the Facilities or participation in the Ministry Events. I further covenant not to sue West Ridge Church with respect to, and I waive any all claims that I may have now or in the future against West Ridge Church for any liability arising from my use of the Facilities or Participation in the Ministry Events.

Medical Authorization

In the event I cannot make the decision on my own, I hereby authorize WRC, its officers, directors, agents, employees, or designated medical professionals to make emergency medical decisions (I.E. doctors, hospitals, medical treatment, etc.) and/or to administer emergency medical assistance.

I accept responsibility for payment of expenses incurred as a result of any medical treatment.

I have read, agree to, and understand all the terms in this document, namely the West Ridge Church Medical Authorization and Waiver form. I do agree that all the terms in this document do apply to all activities sponsored by West Ridge Church for a period of 1 (one) year from the date of signature. It is my responsibility to notify West Ridge Church of any insurance changes that occur during the above time period.
Signature*

Clear
Once you click Submit below, you will be able to review your selections and go back and change anything at that time.
Should be Empty:

Night of the Stars Team Member

Registration for Team Members is Closed

Emergency Contact During Event

Waiver of Liability