Student Photo *
Please upload a clear and recent headshot of the student for identification and emergency purposes.
Choose 1 file. Maximum file size 10 MB.
Phone number *
Phone type Mobile Home Work Other
Gender
Select… Male Female
T-Shirt Size *
Select… Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL Adult 4XL
Have you trusted Jesus Christ to be your Savior, forgiving you of your sins? *
Share how you became a Christ-follower? *
Share how you know that you are going to Heaven (give Biblical support/verses)? *
Share how you are growing in your relationship with God? *
What experience have you already had working with children? (if none, type none) *
Prayer Partner 1 *
Please include name, address, phone number and email.
Prayer Partner 2 *
Please include name, address, phone number and email.
Prayer Partner 3 *
Please include name, address, phone number and email.
2025-26 Maricopa County Child Evangelism Fellowship® Ministry Compliance Agreement *
Recognizing the spiritual need of boys and girls in our community and around the world, I would like to assist in the work of Child Evangelism Fellowship (CEF). I understand that CEF is without specific denominational affiliation, and have read the Statement of Faith (www.cefonline.com/about/statementoffaith/) and CEF Doctrinal Protection Policy (below). In becoming a coworker with CEF, and in order to protect the ministry, I agree not to propagate or practice in CEF ministries any distinctive or controversial doctrines, methods and practices that would go beyond the CEF Statement of Faith and the approved CEF curriculum. These would include but not be limited to such things as modes of baptism, alteration of the Gospel message, speaking in tongues, interpretation of Scripture by experience, healing on demand, etc. I understand that anyone who does not adhere to this agreement cannot serve with CEF as paid staff or volunteer. In teaching Bible lessons in core CEF programs I will use exclusively materials approved by CEF. In offering my services I trust the Lord to make me a faithful servant, and should problems arise between CEF and me that cannot be fully reconciled, I will quietly withdraw to preserve the harmony essential to having an effective Christian witness. (If you have any questions about a specific policy or to see a complete copy of all policies, please contact the CEF Arizona state office at 602-242-4243.)
Select… 2025-26
Minor Applicant Electronic Signature *
By typing my FULL NAME into this field I certify/affirm that: 1) I have read, agree with and will abide by the Ministry Compliance Agreement and CEF doctrinal statement, 2) The above information is correct to the best of my knowledge. 3) I will follow the rules and guidelines established by CEF staff while attending CYIA Camp and while I am serving/volunteering in Summer Ministry.
Primary Parent/Guardian Address *
(if same, type same)
Additional Parent/Guardian Name *
(if none, type none)
Additional Parent/Guardian Phone *
(if none, type none)
Additional Parent/Guardian Email *
(if none, type none)
Additional Parent/Guardian Address *
(if same, type same, if none, type none)
Please take a picture and upload the front of your Medical Insurance Card *
Choose 1 file. Maximum file size 10 MB.
Please take a picture and upload the back of your insurance card *
Choose 1 file. Maximum file size 10 MB.
Emergency Contact Name & Relationship to child (not parent/guardian) *
Example: John Smith - Family Friend
List known allergies to food or medication *
(if none, type none)
List medication that you are taking (dosage/frequency) and reason for taking it *
(if none, type none)
Permission for administering over the counter medication *
Please check all over the counter medicines that we are allowed to give to your child.
Are there any psychological, medical or physical conditions that we should know about? *
(if none, type none)
Weeks of the summer that my student can commit to serve in 5-Day Clubs *
Our Funding for Summer Ministry will come from: *
Parent Payment - All parent payments are non-tax deductible, please use the Parent Payment Link at the top of this form.
Please check all that apply *
Photo & Video Release *
Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photographs or videos. I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use, and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.
Parent/Guardian Electronic Signature *
By typing my FULL NAME into this field I certify/affirm that: 1) I am the parent/legal guardian of the minor on this form. 2) I give my child permission to serve/volunteer in Summer Ministry and attend CYIA Camp.
Submit
