STEP 1:  Fill out the Run Registration Form.

Please fill out the following PDF Registration and Waiver Forms.  You can either fill them out electronically and email them to register@moorparkpoliorun.com, fax them to (805) 521-3636 or print the form and mail to Moorpark Rotary, P.O. Box 172, Moorpark, CA 93020-0172.

Moorpark Polio Run Online Registration Form 2012

Liability Waiver Form

STEP 2:  Mail A Check

Please Mail your check to the following address.  Thanks!

Moorpark Polio Run
c/o Moorpark Rotary Club
P.O. Box 172
Moorpark, CA 93020-0172