Shine Registration

Shine Rally Registration

Student's Name(Required)
Parent's Name(Required)
I would also use this as a contact number in the case of cancellations, etc.
We need chaperones! Are you able to chaperone for all or some of the event (12:45-6:45)?(Required)
All chaperones will need to be Virtus-trained and background checked.
I certify that I am the _________ of the minor child named above and I agree to the above terms for myself and for my minor child.(Required)
This field is for validation purposes and should be left unchanged.