SIDEKICK APPLICATION

If you have a child you believe is ready to step out of the shadow and develop a connection that will help them build the skills they need to thrive, please fill out the form on this page. This information is for use in matching Sidekicks to Scouts. All information is confidential and will not be shared with anyone outside our organization.

Once we receive your information, a member of our team will reach out to set up a conversation with you and your child. With your unique situation understood, we will move forward finding the perfect Scout for your son or daughter and set up a meeting for the three (or four) of you.

Please note, your child’s safety is of the greatest concern to us. As such, all Scout applicants will go through a background check and an interview process before becoming an official Scout of Shadow Shine.

Sidekick Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

###

####

Parent/Guardian Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth of Sidekick

YYYY

Gender of Sidekick

Name of School and Grade Level of Sidekick

Ages of all Siblings in Household

Number of Medically Challenged Siblings and Ages

Do you speak more than one language?

Yes

Primary Language

How did you find Shadow Shine?

What drew you to Shadow Shine and how do you feel your child would benefit?