Registration Form information

Registration Form information

Contact Information

First Name

Last Name

Email

Phone Number

Country

City

State

Province

Brazilian State

Street Address

What is your current status as a student?

Company or Professional Affiliation

Student Information

Which region do you go to school in?

Country in Africa

University or School in Africa

If your university is not listed, please select "Other university in..."

Country in Asia

University or School in Asia

If your university is not listed, please select "Other university in..."

Country in South Pacific

University or School in South Pacific

If your university is not listed, please select "Other university in..."

Country in Europe

University or School in Europe

If your university does not appear on the list, please select "Other university in..."

Country in Central or South America

University of School in Central or South America

If your university is not listed, please select "Other university in..."

Country in North America

State

University or School in United States

If your university is not listed, please select "Other university in..."

University or School in Canada

If your school is not listed, please select "Other university in..."

Province

Brazilian State

Graduation Year

Additional Questions

What does Liberty mean to you?

What is the role of government?

Why do you want to attend LibertyCon Africa?

I agree to conduct myself in a respectful manner with the purpose of gaining a greater understanding of liberty. I understand the information I provide will be used by Students For Liberty in accordance with its privacy policy . I also give permission to the Students For Liberty to take my photograph and use it for purposes as deemed necessary by Students For Liberty

I agree to receiving email communications.

Contact Information