TETA EmpowaYouth Summit 26-28 September 2024 NAME* First Last AGE*EMAIL ADDRESS* CONTACT NUMBER(S)*ADDRESS [TOWNSHIP OF RESIDENCE]* GENDER* MALE FEMALE OTHER WHICH INDUSTRIES ARE YOU MOST INTERESTED IN?* TRANSPORT HEALTH & WELLNESS ENTREPRENEURSHIP TOURISM AGRICULTURE ENERGY ARE YOU AN ENTREPRENEUR?* YES NO IS YOUR COMPANY REGISTERED* YES NO PLEASE CONTACT ME TO KEEP ME INFORMED ABOUT THIS EVENT* YES NO CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.