Camp Shine Registration (Ages 12-20)
Camp Shine will run Monday 8/16 - Friday 8/27 from 9:00am - 3:00pm. LIMITED SPOTS AVAILABLE!

Cost: $1,000

**To ensure the safety of all campers and staff, Covid-19 vaccinations are REQUIRED to attend camp.**
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Does the camper require a one to one aide? (Additional fees apply)
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Please read before proceeding:
Camp Shine will take place at Fanwood Presbyterian Church located at 74 S Martine Ave, Fanwood, NJ 07023.The showcase time/location is TBD. Ages 12 - 20.

All Covid-19 protocols will be adhered to as directed by current CDC guidelines.
To ensure the safety of all campers and staff, Covid-19 vaccinations are REQUIRED to attend camp.

Masks will not be required outside but WILL be required inside as of right now (except when eating lunch) and socially distanced. Please refer to our rules in regards to Covid-19 on our website before signing up for camp (which will be updated regularly based on revised CDC guidelines.)

*Please note*: In person camp is subject to change to a virtual setting at the discretion of Shining Stars Network Board of Directors. You will be notified if any changes occur at least one week prior to camp.
COVID-19 VACCINATION POLICY
ALL staff and campers are required to have completed the Covid-19 Vaccine, no later than July
30, 2021. ALL staff and campers are required to upload proof of vaccine by July 30, 2021. If the
proof of vaccine is not emailed to shiningstarsnetwork@gmail.com by July 30,  Shining Stars Network has the right to forfeit your spot to an individual on the waitlist. All three approved Covid vaccines will all be accepted. More information about uploading your vaccine card will be provided in a future correspondence.
Camper Name *
Date of Birth *
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Camper Email
Address (Include Town & Zip Code) *
Parent(s) Name(s) *
Parent Email(s) *
Parent Phone Number(s) *
Camper Phone Number
Diagnosis *
Behavioral Concerns *
Allergies/Restrictions *
T-Shirt Size *
Emergency Contact Information (Name and phone number) *
Doctor's Name *
Doctor's Phone Number *
Has the camper been fully vaccinated for Covid-19 or plans to be before July 30, 2021  *Proof of vaccination is REQUIRED to attend Camp Shine.* *
Are there any special talents you have that you would like to share with us or any additional information that you would like us to know about your child that will help in their success at Camp Shine?
Is this your first time applying to Camp Shine? *
If so, how did you hear about it?
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Payment Option ($1000) *
Once the registration is completed and submitted, an invoice and a request of vaccination proof will be sent to you. If you are paying by cash or check, please mail or drop off to the following address: 24 Georgia Street, Cranford, NJ 07016. Payment is due no later than July 15, 2021. If payment is not received by July 15, you will be put on a waiting list.
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