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Registration Form: Walk - Eddie Hart Savannah on 29th January from 5:30 pm - Contribution: $120.00 - Kids, Interactors and EarlyActors are free. N95 Masks and Shields will be provided
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Mobile Number
*
Your answer
Email Address
Your answer
Are you fully vaccinated
*
Yes
No
Meal Preference (Provided by The Cutting Block Food Truck, Eddie Hart Savannah)
*
Chicken -Chicken roasted in olive oil, herbs and garlic with sides of cole slaw and fries
Fish - Grilled fish with garlic, herbs, butter and olive oil with sides of cole slaw and fries
Vegetarian - Grilled sweet potatoes, grilled vegetables and cole slaw
Please indicate below
*
I am a Rotarian
I am a Rotaractor
I am registering for an Interactor/EarlyActor
I am a Spouse/Partner-in-Service/Inner Wheeler
Family member of the above
Do you have any medical issues that we need to be aware of given this is a physical activity? If so, please indicate (medical doctor will be part of the walk)
Your answer
If you want to register for additional spouse/partner-in-service or family member(s), please list below and indicate meal preference for each:
Your answer
A copy of your responses will be emailed to the address you provided.
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