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Register for the CE Leadership Summit for Youth Workers
March 19-20, 2012 (Optional Sunday evening the 18th)

The cost is $99 for up to two persons (each additional person is just $39)

A $20 late fee PER PERSON will be charged if online registration isn't completed
before March 13 or mailed in registrations aren't postmarked March 13 or earlier.

Required Fields = *

Back to CELS Youth page

First name:
*

Last name:
*

Cell Phone:
*

Email Address:
*

I would like to sign up for CE News Online, CE National's weekly email newsletter.

Spouse (if attending):

I am a... *
Volunteer youth worker:
Paid part-time youth worker:
Paid full-time youth worker:
Other:

Years I have been involved in youth ministry: *


I work with (check all that apply) *
Middle School
High School
College Age

Total number of students in your youth ministry (grades 6-12): *

Will you be able to bring at least one copy of your purpose statement or youth program brochure to put on a community table? *
Yes
No

Will you be needing housing options? (Philemon Retreat Center, first come first serve [for men only] or in someone’s home). *
Yes
No
Undecided

Please email me a list of hotels. *
Yes
No

I will arrive by... *
8:30 p.m. Sunday (coffee and cookies provided)
Monday morning
Undecided

Registration includes 2 breakfasts, 1 lunch, 1 dinner (1 lunch is on your own in groups) and optional Sunday evening fellowship time. Snacks will be available for sale.

Number from my church attending CELS: *

For payment I will... *
pay now through PayPal
mail a check
make payment when I get to CELS

(Please click 'Next' only once)