Registration Form / “The Waiver”

You can register online in advance, if you’re leading a plunger party, please let us know approximately how many polar bears will be with you. Every plunger is required to have a signed-waiver prior to the plunge at 10am!

Name
I acknowledge I will need to bring a signed waiver with me.

We will have some on hand for anyone who doesn’t bring one.

Donate to The Boys & Girls Club!

Participation is free, with a signed waiver.

Lets plunge for a cause, not just because!

Get a t-shirt with any donations made to the Boys & Girls Club over $25

Now, Where is Paynetown Beach?

Located on Lake Monroe, southeast of Bloomington!

Google Maps