2026 Yavapai County CYIA Summer Missionary Application

Saturday, May 30- Friday, June 5, 2026
Cost: $895

STUDENTS, please fill out the top portion of this form with YOUR information.
PARENTS, please fill out the bottom portion of the form.

Parent Payment Link - for any parent payment towards your student's Summer Ministry
Donation Link - for any non-parent donation towards Summer Ministry

Your name *

Last name

Email address *

Student Photo *

Please upload a clear and recent headshot of the student for identification and emergency purposes.

No file currently selected

Choose 1 file. Maximum file size 10 MB.

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Birthdate *

Gender

T-Shirt Size *

Church *

Name of the school you will attend in the Fall *

Have you trusted Jesus Christ to be your Savior, forgiving you of your sins? *

Yes

Not Sure

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 Partners

Please list 3 non-family contacts who will commit to praying for you throughout the summer.
(Their contact information will not be entered into CEF's Database for any kind of mailing/solicitation)

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.

Pastor Reference - Pastor's Name *

Pastor's Phone Number *

Pastor's Email Address *

2026-27 Yavapai 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.) Doctrinal Protection Policy - Adopted by CEF International Board of Trustees, May 6, 2002 Child Evangelism Fellowship ® continues in its commitment to its Statement of Faith, which embodies the non-negotiable and historic beliefs of evangelical Christians. Within the community of evangelical believers various distinctives exist which do not prevent our fellowship in the Lord and our effectiveness as child evangelists. We therefore resolve that CEF® workers are qualified by their unreserved commitment to CEF’s Statement of Faith and their further commitment in all CEF activities to refrain from teaching or otherwise advocating doctrinal distinctives either contrary to or in addition to the Statement of Faith. Please select the school year in which you are volunteering below.

PLEASE SELECT 2026-27 FORM FOR SERVING SUMMER/FALL 2026

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.

Parent Portion

Primary Parent/Guardian Name *

Primary Parent/Guardian Phone *

Primary Parent/Guardian Email *

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)

Your student's doctor's name *

Your student's doctor's phone number *

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

No file currently selected

Choose 1 file. Maximum file size 10 MB.

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

No file currently selected

Choose 1 file. Maximum file size 10 MB.

Emergency Contact Name & Relationship to child (not parent/guardian) *

Example: John Smith - Family Friend

Emergency Contact Phone Number *

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.

Acetaminophen (Tylenol)

Ibuprofen (Advil)

Tums or Milk of Magnesia

Sunscreen

NO over the medications allowed

Other

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 *

DATES

DATES2

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.
Donation - All non-parent donations are tax deductible, please use the Donation Link at the top of this form.

Paying the entire amount (NOT raising support).

Participating in fundraising & paying the unraised balance.

Church sponsorship (your church will pay 100%).

Other

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

Please check all that apply *

Permission for my student to participate in Summer Ministry with CEF

Permission for your student to ride in a car alone with a screened staff person from CEF

I agree, as part of my students participation in Summer Ministry, that I am responsible for paying in full any remaining balance owed that is not raised through support. Due before CYIA Camp.

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.

I agree to the Photo & Video Release

I do not agree to the Photo & Video Release

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.

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Child Evangelism Fellowship of Arizona
reachus@cefarizona.com
602-242-4243