SHINE 2024 Workshop Registration 
Beauties, Butterflies, and Brunch:

Saturday, April 6th, 2024
10am - 3pm
Washington Tech 
Girls grade 6th-12th



By completing the form I agree to the terms below to participate and become a member of the S.H.I.N.E girls workshop. I do understand if I can not maintain these requirements to participate in the retreat then I will no longer be able to attend the workshop. This workshop is a commitment and not a requirement, but a choice to be involved. Below is what is expected of each participant in the SHINE group:

For more information/updates check out our website 

PARTICIPATION FORM NEEDS TO BE COMPLETED TO PARTICIPATE IN SHINE GIRLS 2024 WORKSHOP (no exceptions)




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Participants First & Last Name: *
Participants School ID # *
Participants Email Address: *
Participants School *
Participants Grade Level: *
Participants T-shirt Size: *
Please list all known food allergies or restrictions:
I understand that my participation is required to continue to grow and build a sisterhood.
 *
I agree that all cell phones will be turned OFF during workshop time,  failure to do so I may be asked to hand phone to one of the facilitators until the end of group session
 *
I agree that information about my child may be shared with sponsors/donors to monitor program progress and the improvement of program services for S.H.I.N.E
 *
Required
Parent's Name:
 *
Parent's Contact Number:
 *
Parent's Email Address:
 *
Emergency Contact Name:
 *
Emergency Contact Phone Number:
 *
Relationship to Participant: 
 *
Emergency Contact Email Address:
 *
I understand that transportation is not provided by SHINE staff and that transportation is the solely responsibility of participant
 *
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