2021 CYIA Application
Key Information:
CYIA is open to anyone 13 years of age through college
Training Dates: June 18-26
Training Location: Snow Wolf Lodge (Pagosa Springs, CO)
Ministry Dates: July 6-8, 13-15, 20-22, 27-29

Please email a headshot photo of yourself to cyia@coloradocef.org once you complete this application
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First & Last Name
Gender
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Mailing Address
Student Phone Number
Student Email
Birthday
MM
/
DD
/
YYYY
Highest grade completed by June 2020
What school do you go to?
T-Shirt Size
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Is this Your First Year of CYIA?
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If you have been a part of CYIA, how many years have you participated?
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Parent/Guardian Name
Parent/Guardian Phone Number
Parent/Guardian Email
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