Registration Type/Aina ya Kusajili* Individual(Mtu Binafsi)Group(Kikundi)Institution(Taasisi)Other/Mengine
Your Name/Jina*
Phone Number/Numbari ya Simu*
Your Email/Barua Pepe*
Region/Eneo* —Please choose an option—Nairobi and aroundThe Central HighlandsThe Rift ValleyWestern KenyaThe CoastThe North
County/Kaunti* —Please choose an option—BaringoBometBungomaBusiaElgeyo MarakwetEmbuGarissaHoma BayIsioloKajiadoKakamegaKerichoKiambuKilifiKirinyagaKisiiKisumuKituiKwaleLaikipiaLamuMachakosMakueniManderaMeruMigoriMarsabitMombasaMurangaNairobiNakuruNandiNarokNyamiraNyandaruaNyeriSamburuSiayaTaita TavetaTana RiverTharaka NithiTrans NzoiaTurkanaUasin GishuVihigaWajirWest Pokot
Any Other Information/Mengine yoyote*
