Polar Bear Plunge 2024!

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What is your name?

What is your email?

What is your phone number?

What size adult long sleeve t-shirt would you like? (These are olive green not teal as shown)

Adults sizes run from Small - 3XL. Please indicate what size and how many you need.

What is your address? (including city and zip code)

I am participating as:

an individual.....so brave!

part of a team....safety in numbers!

I'm a chicken jumper....that water is too cold!

I am donating money for 'Toss Your Boss'.....he's such a good sport!

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If you are participating as part of a team, let us know what team you are with so we can give them credit!

If you are participating with 'Toss Your Boss' please list the company name here so we can give them credit!

I understand that when I arrive, I will need to sign a release form before I am allowed to get in the water.

yes

no.....if you choose this ....please consider participating as a chicken jumper

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(click link above)

I understand that I need to send my payment at the time of registration. Please use the link to pay online using a card.

I'm good to go!

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