SHINE Participant Referral Form

If you have a friend or acquaintance that you would like to connect to SHINE, you can refer them on this form and one of our SHINE leaders will reach out to them.
This class serves ages 0-99.

*If you are a parent or caregiver wanting to register a participant, you do not need to fill out this form, just the SHINE Participant Sign Up Form.

*Please fill out your info. first (may autofill if you have a profile), then the person you are referring and finally the parent or caretaker's info.