Registration and $25 deposit due May 28, 2021! Fillable: Please allow 20-30 minutes to complete this form.
I have experience with... (Check all that apply):
What days do you plan to participate? (Crews do not work on Sunday or Wednesday):
Have you ever been arrested or convicted of a crime?
If yes, please explain:
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.
Primary Emergency Contact:
Secondary Emergency Contact:
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.
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.
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