CYIA 2019 Application

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THIS SECTION IS VERY IMPORTANT

Please be careful to answer the following questions honestly. Before any applicant can be considered, he or she must verify the following.


By checking the boxes below you are agreeing to the statement that appears above it. Specifically concerning the video, "Protecting Today's Child, if you have not watched it completely, click this link to do so now. You must watch it before submitting your application. Clicking the link will open a new web browser tab, so you will not lose your place in the form.