Shining Stars "United We Shine" Registration Form

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Thank you for your interest in being a part of Shining Stars Network's "United We Shine Program".
Fill out the application form below as soon as possible. All applications will be reviewed before registration is confirmed. The registration deadline for all participants is April 1st.

We Currently have two confirmed United We Shine performance:
Friday, May 29th, 2020 at New Providence High School
Thurday, June 4th, 2020 at Saint Dominic Acadamy, Jersey City

There is NO registration fee for this program.

For more information go to www.unitedweshine.org

Email *

Participant's Name: *

Have they been a participant in a previous Shining Stars Network Event? *

Yes

Participant's Age: *

Participant's Diagnosis: *

Behavioral Concerns *

Allergy/Medication Concerns *

Participant's Phone Number: *

Are you able to make the performance on Friday, May 29th, 2020 at New Providence High School? *

Yes

Are you able to make the performance on Thursday, June 4th, 2020 at Saint Dominic Acadamy, Jersey City? *

Yes

Tee Shirt Size: *

XXL

XXXL

Parent/Guardian Name: *

Parent/Guardian Phone Number: *

Parent/Guardian Email(s): (Include any addresses you want included in future mailings.) *

Home Address: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Emergency Contact Address: *

IMPORTANT THINGS TO NOTE: Rehearsals will be announced later in the year. Solos are not guaranteed, but there will be solo opportunities within an act. We will determine the number/type of acts when registration is completed. Song choices/acts are ultimately left to the discretion of the directors.

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