MARICOPA COUNTY 2024 CYIA Summer Missionary Application

I am signing up for

CYIA High School in Flagstaff (June 1-7) Jr. CYIA in Phoenix (June 12-14)

Name

Address

Phone (xxx-xxx-xxxx)

Birthdate (MM/DD/YYYY)

This address will receive a confirmation email

T-shirt Size

Adult Small Adult Medium Adult Large Adult X-Large Adult 2XL Adult 3XL

Father's Name/ Cell Number

Mother's Name/ Cell Number

Parent Approval - By clicking your response, you are electronically signing your approval

Permission for my student to participate in Summer Ministry with CEF Permission to Photo/Video your student Permission for your student to ride in a car alone with a screened staff person from CEF

Church

Name of the School that you will attend in the Fall

Have you trusted Jesus Christ to be your Saviour from sin?

Yes No Not Sure

Share: 1) How you became a Christ-follower 2) How do you know that you are going to Heaven (give Biblical support/verses), 3) How are you growing in your relationship with God today

What experience have you already had working with children? (if none, write none)

Please list 3 contacts that are not family but will commit to praying for you throughout the summer. We need NAME, ADDRESS, PHONE NUMBER, & EMAIL (Their contact information will not be entered into CEF's Database for any kind of mailing/solicitation)

Your Doctor's Name and Phone Number (xxx-xxx-xxxx)

Please take a picture and upload the front of your Medical Insurance Card

Upload (8MB)

Please take a picture and upload the back of your insurance card

Upload (8MB)

Social Security Number (9 numbers no dashes)

Emergency Contact's Name & Phone Number (xxx-xxx-xxxx)

List known allergies to food or medication (if none, write none)

List medication that you are taking (dosage/frequency) and reason for taking it (if none, write none)

Weeks of the summer that I commit to serve in 5-Day Clubs

Third week of June (phx) Fouth week of June (phx) Second week of July (AZ Blitz in area of need)

I am funding my Summer Ministry with CEF by:

Paying $100 deposit & raising the rest from donors Paying the entire amount & NOT raising support Participate in fundraisers & paying the unraised balance Church sponsorship (your church will pay 100%) I will go to www.CEFArizona.com and click on DONATE to make my payment

Description

HS: June1-7 in Flagstaff MS: June 12-14 in Phoenix

CHRISTIAN YOUTH IN ACTION is a missions opportunity for teenagers of strong faith step into leadership and servie in their local areas. The CYIA camp in Flagstaff (June 1-7) or Jr CYIA camp (June 12-14) in Phoenix equips teens to have a significant ministry to children 1) clearly sharing the Gospel (Good News of Jesus) 2) leading games 3) helping children memorize scripture 4) being music leaders 5) powerfully teaching a Bible Lesson 6) capturing kids with missionary adventure stories in 5-Day Clubs in Maricopa County (June 17-21 & June 24-28) where children are and led in FUN and ENERGETIC club programs and/or VBS outreaches!

MARICOPA COUNTY 2024 CYIA Summer Missionary Application

Description

Please Fix the Following