Camp Shine Registration

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Please send a $25 registration fee per camper which will hold your spot in addition to the $800 camp tuition. Please make checks payable to Shining Stars Network and send FULL payment ($800 per camper for the full 2 weeks plus the $25 registration fee, $825 total) to 24 Georgia Street, Cranford, NJ 07016 or Venmo us @ShiningStarsNetwork by June 30th. **PLEASE NOTE** - All new campers will be interviewed to assure that Camp Shine is the right match. If it is determined that a 1:1 aide is needed, an additional fee will apply.

Camper Name/Age:

Address:

Parent(s) Name(s)

Parent(s) Email(s)

Parent Phone Number(s)

Camper's Phone #

Diagnosis:

Behavioral Concerns:

Allergies/Restrictions

Emergency Contact Info: Name/ Phone #/Address

Doctor's Name:

Doctor's Phone #

Additional information you would like us to know regarding your child:

T-Shirt Size (Adult)

XXL

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What are YOUR goals for your child(ren) at Camp Shine?

Camp Shine runs from 9:00-3:00pm Monday-Friday, except on Friday, August 30th, which is from 9:00-1:00pm. The talent showcase is on Thursday night, August 29th at 7:00pm. Please make checks payable to "Shining Stars Network" -- and mail to 24 Georgia Street, Cranford, NJ 07016. The registration fee of $25 is due to hold your spot -- Tuition of $800 for the full 2 week program (must attend both weeks) is due in full by June 30, 2019. Total: ($825 per camper) Registration fee includes camp t-shirt. **PLEASE NOTE** - All new campers will be interviewed to assure that Camp Shine is the right match. If it is determined that a 1:1 aide is needed, an additional fee will apply.

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