I've created a sample Google form that may be used for people to register for the event. It's a very basic form with starting with some questions followed by a survey of some general knowledge Wiki questions that we could use to assist us in planning on how to improve in areas that the public has little or no knowledge of.

If you feel that there is a crucial question that I have left out, kindly edit it so that I can put the final form at http://www.wikimedia.or.ke

happy holidays.