Guest Registration
*Fields are mandatory. Type N/A if not applicable.
Name of Guest *
Name of Guest
Address *
All Fields Are Required
Phone *
Emergency Contact Person *
Emergency Contact Person
Phone (Emergency Contact Person) *
Phone (Emergency Contact Person)
Sensitivity to Loud Noises, crowds, tactile responses
While we cannot guarantee matching with a specific individual, we want guests to have the best time possible. Please specify if a woman or man is preferred and if a more seasoned and experienced Prom Date may be needed for individual guests.
Parent/Caregiver Information
Parent/Caregiver Phone *
Parent/Caregiver Phone
Parent/Caregiver will be: *
Care Provider Agency Information (if Applicable)
Agency Phone
Agency Phone

Garfield Memorial Church is proud to be an official host church for the 2019 Night to Shine, sponsored by the Tim Tebow Foundation. Night To Shine is an incredible, unforgettable prom night experience, centered on God's love, for people with special needs, ages 14 and older. The event will take place on February 8, 2019 from 6:00 PM to 9:00 PM.

Family members are invited to take time off, knowing that your son or daughter is having an amazing time in a safe environment with a personally assigned "Prom Date." You are also welcome to stay and enjoy refreshments, music, and pampering services in a designated Family Respite Room. Click the FAMILY PARTICIPATION button above to register.

If you are a paid caregiver to a guest and are required to stay on the premises during the event, you are welcome to rest in the Caregiver Room. No registration required.


Guest Resources

Click here for information on discounted tuxedo and prom dress rentals, haircuts, makeup and more.