Prepare Certification Seminar Feb. 23, 2006 (9:00 to 5:00) with Richard Ellis Registration Form Name______________________________________          Church  ____________________________________ Address ___________________________________  __________________________________________ City _______________________________________ Zip Code _________________ Phone # (    ___  )_______________________   E-mail ______________________________________     Registration deadline:  Feb. 15, 2006   Cost  $175.00 (includes breakfast and snacks )     Mail this form and payment to:  Center for Youth and Family Ministry Box 29435 Abilene, TX 79699