Variety SHINE Program RSVP

Congratulations on your child’s acceptance to the Variety SHINE Program.

This page contains required forms, Key Information, and the confirmation form that is required to confirm the placement for your child in the Variety SHINE Program.

View the 2020 Variety SHINE Key information

Please be advised, we require you to complete and email the following 6 forms to [email protected] for each child before the program begins. Otherwise, we will ask you to complete these forms on the first day of the program.

  1. Child Case History Form
  2. Child Medical Emergency Contact Form
  3. Audio Visual Permission Form
  4. Promotional Video Permission Form
  5. CCC-2 Children’s Communication Checklist Form
  6. Screen for Child Anxiety Related Disorder Form

Please complete the following form for each accepted child:

  • Parent/Guardian Details

  • Accepted Child's Details

  • DD slash MM slash YYYY
    I understand and accept that I will complete and supply the above 6 documents for the child listed in this RSVP.