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Workshop Registration Form

New Zain Africa Challenge (ZAC) Coaches and Liaisons who wish to attend the optional Zain Africa Challenge Workshops must complete this form. 

Please note that participation at this workshop is limited to:
New universities: Coach and Liaison.
Returning universities: Either the Coach or Liaison.

Once we receive this form, you will be contacted regarding your desire to attend and to discuss any necessary travel or hotel arrangements.  If you have questions regarding this form or need assistance, please email Annemarie Kamuyu or call her at +254 20 221 3203.

University:
Country:
Date of Workshop:

Here are the country assignments for the workshops:

Country of Residence Workshop Location Date
Ghana Accra, Ghana 19 September
Kenya Nairobi, Kenya 15 September
Malawi Dar es Salaam, Tanzania 17 September
Nigeria Abuja, Nigeria 30 September
Sierra Leone Accra, Ghana 19 September
Tanzania Dar es Salaam, Tanzania 17 September
Uganda Kampala, Uganda 14 September
Zambia Nairobi, Kenya 15 September

8ame of Person Completing this form: 
Email of Person Completing this form:  
Title of Person Completing this form:
Liaison:

Complete these fields ONLY if the Liaison desires to attend
Full Name
Title
Email
Office Phone
Mobile Phone
Coach:

Complete these fields ONLY if the Coach desires to attend
Full Name
Title
Email
Office Phone
Mobile Phone
Travel Via:



Distance

Hotel Room Needed:

 
If yes, for which night(s)

Other Comments:
 
  
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