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!

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Name *

First

Last

How Many Plungers In Your Group? *

to need Name

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

• I will have a printed and signed waiver with me on January 1st 2026

Download Waiver Here

Register

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