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2022 CYIA Application
Key Information:
CYIA is open to anyone 13 years of age through college
Training Dates: June 5-11
Training Location: YMCA of the Rockies (Winter Park, CO)
Ministry Dates: June 21-23, June 28-30, July 12-14, July 19-21
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* Indicates required question
First & Last Name
*
Your answer
Gender
*
Male
Female
I prefer not to answer.
Mailing Address (Please include city, state, and zip)
*
Your answer
Student Phone Number
*
Your answer
Student Email
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Highest grade completed by June 2021
*
Your answer
What school do you go to?
*
Your answer
T-Shirt Size
*
XS
S
M
L
XL
XXL
Is this Your First Year of CYIA?
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Yes
No
If you have been a part of CYIA, how many years have you participated?
*
1
2
3
4
5+
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
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