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LEADERSHIP WITH YOU CONFERENCE REGISTRATION FORM

LWYC looks to cultivate a generation of young African leaders who first master themselves and, in turn, lead their communities with excellence, integrity, and purpose,unlocking their fullest potential and driving meaningful societal impact. Kindly complete this form thoroughly

BASIC INFORMATION

Full name

Email address

Phone number

Age range

A
B
C
D

Which best describes you

Location

AWARENESS & INTERST

How did you hear about LWYC

A
B
C
D
E
F
G

Why do you want to attend LWYC

COMMITMENT

Will you be available for the Conference on the 23rd and 24th of May, 2026 between the hour of 5pm to 7pm

A
B

Are you willing to stay engaged after the event?

A
B

FINAL AGREEMENT

I agree and commit to participate fully