PROJECT SHINE Registration

Participant Contact Information

Church / Organization Contact Information

Youth Participants Only

I have experience with... (Check all that apply):

Climbing Tall Ladders
Sharing Testimony
Children's Ministry
Evangelism
Dramas/Skits

Adult Participants Only

What days do you plan to participate? (Crews do not work on Sunday or Wednesday):

Sunday Monday
Tuesday Wednesday
Thursday
Friday

I have experience with... (Check all that apply):

Climbing Tall Ladders
Carpentry
Landscaping
Roofing
Siding
Painting
Drywall
Evangelism
Photo/Video Editing

Have you ever been arrested or convicted of a crime?

If yes, please explain:

Emergency & Medical Release Information

Please list any and all health(physical/emotional) conditions for which you currently take medication:

Please list any and all medications for the above-listed condition(s):

***Please bring only enough medication needed for use during the project week.

Emergency Contacts

Primary Emergency Contact:

Secondary Emergency Contact:

I have read and agree to follow the policies on the info and expectations document. I understand my child may not leave and return to Project Shine.

I have read and approve that the information contained in this registration is true to the best of my knowledge. I also understand and approve the use of my photo/digital image for promotional purposes and release Project Shine and the sponsoring churches from responsibility of any injuries sustained during Project Shine or its activities.

Youth Participants:

Do not submit payment on the website until you are sure of your church's plans to collect and send funds to Project Shine. Most churches collect funds and pay in a lump sum, so online payment for youth participants may not be necessary.

Adult Participants:

Before submitting your form, would you like to make a donation to Project Shine? Our adults are not charged a specific fee, but we do graciously ask that you make a donation to the project expenses if you are able. Donate Here