JESSE HALLIDAY GLOBAL INITIATIVE IMPACT 2021 FORM  
You are here because you want to be part of Impact 2021, kindly fill in this form
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FIRST NAME *
LAST NAME *
NATIONALITY *
HEIGHT
GENDER *
PHONE NUMBER  i.e (+2347017062716) *
EMAIL ADDRESS *
Select the master class you'd like to be part of
Do you speak or Understand English ??? *
Our Classes are highly subsidized to accommodate everyone. In other to be part of our Master Class a $100 Fee is required, Each master class attract a fee of $100,  Do you understand this ?? *
Do you have access to Whatsapp, Zoom or Google meet?? *
Type your WhatsApp number Below  I.e (+2347017062716) Make sure to input your country code I.E +2347017062716 *
A message will be sent to you once this form is Submitted, we recommend you cross-check your email and phone number before submitting. Have you cross-check your Email and phone number?? *
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