Shine & Dominate Registration 🌟🚀

Parent/Guardian Full Name

First NameLast Name

Email Address

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Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

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Student Full Name

First NameLast Name

Current Grade

Grade Next School Year

School Next School Year

Areas for Your Child to Grow In

Important Information About Your Child

What Would Make the Program a Success for Your Child?

I understand this is a 66-day summer growth journey focused on confidence, discipline, focus, leadership, emotional strength, responsibility, and purpose.

I understand students will participate in reflection, action steps, challenges, community encouragement, and guided growth activities.

I give permission for my child to participate in the Shine & Dominate: 66 Days Stronger Summer Growth Journey.

My Products

Shine & Dominate: 66 Days Stronger

A 66-day summer growth journey that helps students build confidence, discipline, focus, leadership, emotional strength, time management, and purpose before the new school year begins. Students practice 30 life-changing principles through reflection, action steps, community support, and guided growth activities.

$264.00 Quantity

Total

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Shine & Dominate Registration 🌟🚀

Parent/Guardian Information

Student Information

Student Growth Goals

Parent Permission

My Products

Payment Methods