Invitation
Registration
Program
Hymns
Conference Registration
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Basic Details
Name
Gender
-- Select --
Male
Female
Phone Number
Email
Age Group
-- Select --
Below 5
5-14
15-24
25-49
50+
Are you married?
Select
Yes
No
Are you attending with your spouse?
Select
Yes
No
Spouse Name
Spouse Phone Number
Spouse Email
Spouse Age Group
-- Select --
Below 5
5-14
15-24
25-49
50+
Number of children attending with you
Do you want to be accomodated in the conference selected facilities?
Select
Yes
No
Do you want single occupancy or shared accomodation?
Select
Shared
Single
Please note that for single occupancy you will need to pay additional kshs.3,000.
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Church Details
Select the Church you fellowship with
-- Select --
TBC - Donholm
Bethzatha BC -Tasia & it's plants
Jordan Valley - Utah
Reconciliation BC - Kampala
Covenant Reformed Baptist Church (Kigali)
GBC - Kisumu
GBC - Eldoret
GBC - Oyugis
GBC - Malindi
GBC - Machakos
GBC - Nairobi
RBC - Kericho
Biblical BC - Nakuru
Emmanuel BC - Nairobi
Redeemer Bible Church
Southern Districts Reformed BC - Sydney
Trinity Reformed Baptist Church-Meru
Providence Baptist Church-Kitale
Grace Reformed Baptist Church-Ruiru
Lusaka Baptist Church - Zambia
Kabwata Baptist Church - Zambia
Other
Please provide the name of the church where you fellowship if it is not indicated in the list above
How do you serve in your church?
-- Select --
Elder / Pastor
Deacon
Member
Which department would you like to serve in during the conference?
-- Select --
Catering & Hospitality Service
Sound & Tech Desk
Registration Desk
Time Management
Ushering
Accomodation Arrangement
Transport Arrangement
None
Which department would your spouse like to server in?
-- Select --
Catering & Hospitality Service
Sound & Tech Desk
Registration Desk
Time Management
Ushering
Accomodation Arrangement
Transport Arrangement
None
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Medical Conditions
Are you allergic to any food?
Select
Yes
No
Please list the foods you are allergic to
Any other medical conditions we need to know
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Any Inquiry
Message
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Confirmation Code
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