PRI-Kenya Course / Event 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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