
Program Registration Form
Our mission is to equip and inspire young ladies (ages 13-18) to accept, embrace and share their unique inner shine with the world. We strive to motivate & speak life into young ladies who may or may not be clear on their worth! We will achieve this by offering workshops, seminars, and zoom sessions. As we grow and build, we want to create a mindset that “I am MORE than enough, and my Shine is Mine!"Students and parents will receive information/reminders regarding My Shine is Mine activities & events; because there are times that information and schedules will change. It is imperative that you provide accurate contact information. There is a $100 Fee (non refundable) that is due upon completion of registration.
Email *Student Name *Student's Phone *Select...Mailing Address *Select country/regionStudent's BirthdayWhat School Do You Attend?What is your age? *Name of Parent/Guardian *Parent/Guardian Phone Number *What are your plans after graduation? *If you are planning on attending a university, which one? *Program times *Select an option
© 2024 My Shine Is Mine is a registered 501(C)(3) Charity Organization. EIN: 99-4692919.
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