Registration Form Posted on December 4, 2020December 4, 2020 District Name Club Name Your Name Email Address Your Phone Donation Amount $ I agree to the conditions of entry • That Inner Wheel Australia shall not be held responsible for any loss, damage or injury arising from ‘Sean’s Two for Ten’ 2km walk • That I have the physical fitness to safely complete the Walk ‘Sean’s Two for Ten’ event • Consent to receive medical treatment if deemed advisable • Take sole responsibility for my personal possessions and equipment • That the donation is non-refundable I agree Once successfully submitted please return to this page to submit your donation.