Shining Stars Young Performers - "Time to Inspire" Registration Form
Please note - This program is recommended for participants Ages 10 to 20.

Registration Fee - $150

Please register and send payment before the first rehearsal (February 9th).

Venmo: @ShiningStarsNetwork
Check: Please make checks payable to "Shining Stars Network" and send to 24 Georgia Street, Cranford, NJ 07016.
Participant Name *
Participant Email
Age of Participant *
Parent(s) Name *
Parent Email Address(es) *
Participant Phone Number *
Address *
Parent(s) Phone Number(s) *
Diagnosis *
Behavioral Concerns
T-Shirt Size *
Is this your first show with Shining Stars? If "yes," we will be giving you a call to ensure we are a good fit! *
If you're new to Shining Stars, how did you hear about us?
Is there any other information you would like us to know about your child that will help with their success with us?
Payment Option *
For Cash or Check send payment to 24 Georgia Street, Cranford, NJ 07016
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