CIY 2025 Registration

July 20-25 | Lee University - Cleveland, TN | If you plan to go to CIY with the Student Ministry this summer, please fill out the registration form. There is a $60 nonrefundable deposit to hold your space at camp. If you choose to pay in full but have to cancel you will be refunded the payment minus the $60 deposit. If you have multiple children, please register them separately.

Student Information

Name

*

Phone

Email

Birthdate

*

What grade will you be completing in May?

Grade

*

Please select one option.

8th 9th 10th 11th 12th

Parent/Guardian Information

Parent/Guardian Name

*

Parent/Guardian Relationship

*

Please select one option.

Mother Father Grandmother Grandfather Aunt Uncle Other

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone

*

Payment

A $60 nonrefundable deposit is due by March 1 to hold your space at camp. If you choose to pay in full but have to cancel you will be refunded the payment minus the $60 deposit.

Payment

Nonrefundable deposit (60.00) Trip in full (474.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 20-25 | Lee University - Cleveland, TN

If you plan to go to CIY with the Student Ministry this summer, please fill out the registration form. There is a $60 nonrefundable deposit to hold your space at camp. If you choose to pay in full but have to cancel you will be refunded the payment minus the $60 deposit. If you have multiple children, please register them separately.

Please Fix the Following

Close