ADCDEA Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank You for your interest in the ADCDEA in Kampala, Uganda April 21st - May 2nd, 2024! For more information on the event and for registration, tickets, partnerships, or sponsorships please visit the website at www.adcdea.com. If you are looking for the 15% Discount code for flights please also fill in your contact information below and you will receive an email with the discount code to book your flight. We hope to see you in Kampala!

Email *

First Name *

Last Name *

Email *

Country of Origin *

Country of Residence *

Gender *

Mobile number (eg. +1 404 957 7864) *

Which of the specialty packages are you interested in? (All International Arrivals are on April 21st) *

10-Day Package April 22nd - May 3rd (Open to the Public, some events for ADCCCI Members only)

7-Day Package April 22nd - April 29th (Open to the Public, some events for ADCCCI Members only)

5-Day Package April 22nd - April 27th (Open to the Public, some events for ADCCCI Members only)

3-Day Extension Only April 30th - May 3rd (ADCCCI Members Only)

4-Day Village Pass

I would like to volunteer

None of the Above

Required

Which of the specialty events are you interested in? (All International Arrivals are on April 21st) *

2-Day Youth Sports Training Camp

Press Conference and Welcome Home Breakfast

2-Day Diaspora Business Village

AI Breakfast in the Metaverse

2-Day Youth Entrepreneurship Fair

2-Day Black Diaspora EXPO Block Party

Grand Welcome Home Gala and Concert

I would like to volunteer

I chose a full package above

Undecided

Which Accommodations are you interested in? *

Munyono Commonwealth Resort (Host Hotel)

Off-Site AirBnB

Family and Friends

I am a resident of Uganda

Undecided

I would like a referral to the preferred travel agent

Required

If you are not African born how many years have you lived in Africa?

Organization/Business Name (Put none if not applicable) *

What best describes the industry of your business or organization? *

Agriculture

Construction

Finance

Governmental

Health & Wellness

Technology/AI

Educational

Creatives

Real Estate

Energy/Oil/Gas

Natural

Medical

None of the Above

Any health conditions that will prevent mobility please describe below (Put None if you have no restrictions) *

Any dietary restrictions that we need to know about to prepare the resort staff? (Put None if you have no restrictions) *

Vegan

No Dairy

Vegetarian

Pescatarian

No Restrictions

Fasting

Traditional Ruler (must eat separately)

Other:

Please see the detailed itinerary below for the 7-Day trip and the 3-Day Extension. Pricing and packages will be available starting February 2024! Let's make Black History in 2024 with the ADCDEA in Uganda!

3-Day Extended Stay and Travel to the City of Jinja for a Cuisine, Adventure and Culture Tour!

I agree to allow the ADC Ambassadors to utilize my responses for reporting purposes as needed for the successful execution of the ADCDEA. *

Yes

Required

I understand that I am responsible for all expenses outside of what is provided for in the package or event that I would like to purchase. I understand that those payments are to be made before arrival and that at no time are any of the ADC Ambassadors responsible for any flight bookings, canceled reservations or canceled flights, or acts of GOD that may occur in the planning or execution of the ADCDEA. *

Yes

Required

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms