Individuals’ Registration Form

Name *

First

Last

Gender *

Nationality (According to Passport) *

Email *

Email

Confirm Email

Confirm Email *

Contact Number *

Preferred mode of communication *

Relationship to YWAM *

Base Leader & Base connected with (Optional). *

Housing Preference *

Who do you want to share accommodation with? *

If possible, we will try to match your accomodation with the person/people you request.

Do you have dietary needs? *

Emergency Contact number. *

In case of an emergency, who should we contact?

Relationship to you. *

Planned date of arrival *

Date of departure *

Travel Arrangements. *

Any question or comment to the organising team? *

Covid Vaccinations: Are you vaccinated? *

Do you need a visa to enter Zambia? *

Passport Number

Fill this part only if you need an invitation letter.

Nationality (According to passport)

Fill this part only if you need an invitation letter.

Secure your booking by making a payment via any of the options. Tick appropriate *

Your preferred accommodation will only be secured once payment in part of full is made. Not applicable to campers at the base.

I would like to give this amount to help with any conference need(s) before or during the conference.

Please specify amount and any specific details if any.