PRI-Kenya Course Registration
Complete this form to register for any of our course offerings.
We will contact you shortly thereafter with payment details.

Please note that you are required to pay a 50% deposit for all courses to fully secure your place and we expect full payment 3 weeks prior to the course date.

Last Name/Surname
Your answer
First Name
Your answer
Gender
Age
Your answer
Course
Choose the course you are registering for.
Contact Information
Street/P.O. Box
Your answer
Town/City
Your answer
State
Your answer
Zip Code
Your answer
Country
Your answer
PRIMARY Phone (no spaces, e.g. +254555555555)
Include Country Code (e.g. +1 for U.S., +254 for Kenya)
Your answer
SECONDARY Phone (no spaces, e.g. +254555555555)
Include Country Code (e.g. +1 for U.S., +254 for Kenya)
Your answer
Email Address
Your answer
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