Name *

First Name

Last Name

Phone

(###)

###

####

I am age... *

15 or younger

16 or older

Earn your first 5 points by answering the question below correctly. *

Which side of the road do they drive on in Kenya?

Left

Right

Off-road (especially during the rainy season)

All of the above

I am racing for... *

Rehema Home Nairobi

Rehema Home Bukura

Name *

Team Member #1 / Team Leader

First Name

Last Name

Phone

Team Member #1 / Team Leader

(###)

###

####

Team Member #1 / Team Leader Age *

15 or younger

16 or older

Name *

Team Member #2

First Name

Last Name

Phone

Team Member #2

(###)

###

####

Team Member #2 Age *

15 or younger

16 or older

Name

Team Member #3

First Name

Last Name

Phone

Team Member #3

(###)

###

####

Team Member #3 Age

15 or younger

16 or older

Name

Team Member #4

First Name

Last Name

Phone

Team Member #4

(###)

###

####

Team Member Age #4

15 or younger

16 or older

Earn your team's first 5 points by answering the question below correctly. *

Which side of the road do they drive on in Kenya?

Left

Right

Off-road (especially during the rainy season)

All of the above

We are racing for... *

Rehema Home Nairobi

Rehema Home Bukura