Membership (16 years of age and over)

Join our community of members, families, friends and professionals around the UK and see yourself Shine!

Fill out the form below

Personal details

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Education

Employment

Health information

Disabilities (tick as appropriate)

Shunt information

What type of shunt do you have fitted?

Is your shunt programmable

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Mobility information

Please describe your current wheelchair use

Next of kin

Primary contact

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Secondary contact

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Shine would like to keep you up to date with our work including fundraising and volunteering and what you are helping us to achieve. We will keep your details safe and you can always change your preferences at any time just by contacting us. Please read our privacy policy for more information about how we look after your details.

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