Mental Wellness Expo & Walk Kisumu 2026

PERSONAL DETAILS

First Name

Last Name

Phone/Mobile

Email

Are you an organization

Yes

No

County / Location

Which days will you attend?

Day 1 (Thursday, 21st May)

Day 2 (Friday, 22nd May)

Day 3 (Saturday, 23rd May)

Last Day - Walk & Talk (Sunday, 24th May)

Areas of Interest

Mental Health Awareness

Youth & Wellness

GBV & Mental Health

Workplace Wellness

Type of Partnership

Financial Sponsorship

Technical Support

In-kind Support

Area of Interest in Partnership

Would you like to be a speaker/panelist?

Yes

No

Media House Name

Your Role

Coverage Type

Live Coverage

Interviews

Social Media

Will you participate in the Walk & Talk?

Yes

No

What category will you participate in

CONSENT & CONFIRMATION

Do you consent to photography and media coverage?

Yes

No

Additional Comments

PAYMENT DETAILS

Pay via M-Pesa:

Paybill: 4029251
Account Number: Your Name / Organization

Fees:
• T-shirt (Delegates): Ksh 1,000
• Exhibitors: Based on booth size selected

M-Pesa Transaction Code

PERSONAL DETAILS

REGISTRATION CATEGORY

CONSENT & CONFIRMATION

PAYMENT DETAILS