Medical Mission 2017 (Kenya) Checklist

Registration Checklist:
Checkbox Medical Mission Checklist:
Fill in Personal information and check the required boxes of Payments in the “Registration form” found in the next page. You do not need to sign it yet. Once complete, send an email to
Please mail your check to:
Dr. Nelly Kangethe
5311 Goodnow Road
Baltimore, Maryland 21206

Web form built with Simfatic Forms web form builder.