CYIA Staff/Volunteer Application

Date * +

Full Name *

Present Address *

City *

State *

Zip Code *

Home Phone *

Cell Phone *

Email *

Please select one *

Staff

Volunteer

How many adults (including yourself) do you plan on bringing? Are they registered? If not, please ensure they are registered. *

How many children do you plan on bringing? Are they registered? If not, please ensure they are registered. *

Would you be able to help with any of the following? *

	Yes	No
Entertainment	Yes	No
Food (Meals/Snacks)	Yes	No
Games	Yes	No
Transportation	Yes	No
Registration/Hospitality	Yes	No
Worship	Yes	No
Waterpark	Yes	No
Security	Yes	No
Medical (First Aid)	Yes	No

Check-in time for Cabin Reservations is 4:00 p.m. and Check-out time is 11:00 a.m. All Cabins have kitchens. What is your expected time of arrival (Dinner 6:00pm to 7:00pm)? *

4:00pm and 5:00pm

5:00pm and 6:00pm

6:00pm and 7:00pm

Do you or anyone in your party have any food allergies or dietary restrictions? If so, please list them below: Note: Special meal request are limited. *

Will you be providing your own meals? *

Yes

Select all that apply *

CYIA- Lodging/Food/Waterpark/Registration ($400.00)

Camp Kit ($50.00)

Non CYIA participants Lodging/Food/Waterpark ($350.00)

Click to make payment (select your CYIA account)

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Camp Location

Flint Creek Waterpark

1216 Parkway Drive
Wiggins, MS 39577

For more information, contact Beth Johnson - beth@cef-ms.org or (601) 498-3641