Polar Plunge Plunger Roster Form

  • Section A: General Information

  • Section B: Event Information

  • Section C: Plunge Team Roster

  • Please list the members of your team by First & Last Name
  • Section D: Plunge Coordinator Agreement

  • I have read the plunge agreement and understand I will get a revenue split for each plunger I recruit and turn in on my plunge team roster. I also verify and commit to the following:
    1. I have personally recruited each participant on my roster.
    2. I will encourage my team throughout the plunge season and cheer their results on event day.
    3. I will write a Thank You to each team member.
  • Date Format: MM slash DD slash YYYY