Registration Form

• 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.