Membership (under 16 years of age)

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

Fill out the form below

Child's personal details

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Education

Child's health information

Disabilities (tick as appropriate)

Shunt information

What type of shunt does your child have fitted?

Is the shunt programmable

Mobility information

Please describe your child's current wheelchair use

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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