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CYIA 2026
CYIA Registration
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Name *
Age *
Grade *
Parent's Name *
Parent's Phone Number *
How do you know you are saved and going to heaven?
What does it mean to you to be called a "Child of God?"
Why do you think children should hear the Gospel? Have you ever shared with someone how they can receive Jesus as Savior? (Give details).
Tell us about church. Do you go to church regularly? Who do you go with? What part do you enjoy?
How often do you talk to God and read you Bible? What is one thing God has taught you recently?
Pastoral or Ministry Leader Reference
(Please provide name, phone number, and email)
Allergies and/or Medical Conditions (Please write N/A if none) *
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