Get Moving to End Polio
Join the team!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Rotary Club (if applicable):
I'd like to volunteer for the following:
*
Take on an 18 minute relay slot
Provide event support
Give information to the public
Any/All of the above
I'd prefer to do my 18 minutes on:
A Treadmill
A static bike
A rowing machine
I don't mind
I can help/take part at the following times:
*
7am - 9am
9am - 11am
11am - 1pm
1pm - 3pm
3pm - 5pm
5pm - 7pm
Don't mind - will fit where needed
Submit
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