Zebra Generation — Member Registration
Please complete this form to join Zebra Generation. * Required fields.
Section 1: Personal Details
Full Name
Date of Birth
Telephone
Email
Physical Address
Date of Registration
Automatically set to today's date
Section 2: Membership Type
Founder Membership
Ordinary Membership
Organizational Membership
Organization Name
Section 3: Interests and Skills
Interests (select all that apply)
Conservation
Education
Community Development
Research
Other (specify)
Skills (select all that apply)
Professional
Volunteer experience
Leadership
Other (specify)
If Professional - specify
Other Skills (specify)
Section 4: Fees & Payment
Membership Fee (UGX)
Payment Method
Select method
Cash
Mobile Money
Bank Transfer
Other
Section 5: Additional Information
Section 6: Declaration and Consent
I declare that the information provided is accurate.
Signature (type full name)
Date
By submitting, you agree to our membership terms.
Submit Registration