Create an account
{{ errors.first('first name') }}
{{ errors.first('middle name') }}
{{ errors.first('last_name') }}

{{ errors.first('gender') }}
{{ errors.first('phone number') }} {{ formErrors['phone'] }}
{{ errors.first('email') }} {{ formErrors['email'] }}
{{ errors.first('designation') }}
{{ errors.first('program') }}
{{ errors.first('mfl code') }}
{{ errors.first('facility name') }}
{{ errors.first('sub county') }}
{{ errors.first('county') }}
{{ errors.first('in-charge') }}
{{ errors.first('in-charge email') }}
{{ errors.first('in-charge phone') }}

I agree to the terms and conditions.

{{ errors.first('terms') }}