Sign Up With Paypal

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

Moorpark Polio Run – Liability Waiver Form

STEP 2:  Pay with Paypal

Please use the following form to pay with Paypal.  Each runner must be added individually with their T-Shirt size preference.  Click the “Continue Shopping” link to return to this site and add additional runners before checkout. Thanks!

 

Registrants: Choose One
Indicate T-Shirt Size