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IMPACT CONFERENCE REGISTRATION

March 16-18, 2026 - Brackenhurst Retreat Center, Limuru City, Kenya

Please complete this registration form by Friday, January 24. Hotel accommodations and meals will be provided from lunch on March 16 through lunch on March 18 for everyone who registers by January 24.

In addition, you must submit your travel arrangements by February 15. Failure to do so may result in forfeiture of your registration. Please plan to arrive before 12:00 noon on March 16. Any hotel stay before March 16 or after check-out on March 18 will be at the participant’s expense.

Thank you for your prompt cooperation as we finalize plans.

First name

Last name

Title

Church Name

Address

Phone

Gender: Please be prepared for group accommodations according to gender.

Male

Female

Do you have your travel arrangements yet? If so, please provide arrival and departure day and time below.

Out of town travel arrangements must be provided by February 15.

Planned Day of Arrival

Planned Time of Arrival

Time

HoursMinutes

Planned Day of Departure

Planned Time of Departure

Time

HoursMinutes

Please note any special dietary or physical accommodations.

I understand hotel and food will be provided only if you register by Friday, January 24.

I understand I should arrive before 12 noon on March 16.

I understand I must provide my travel arrangements to the Conference by February 15. Also, I understand the Conference will NOT be responsible for my travel, but will provide transport from the airport, bus station or train station.

I understand the Conference will NOT be responsible for for accommodations before Monday, March 16 or after check-out on March 18. If I plan to arrive early or stay late, I will make arrangements with the Hotel for my accommodations.