2016 Polar Plunge Brochure - Special Olympics Kentucky

TOO CHICKEN
TO PLUNGE?
YOU CAN STILL BE A PART OF
THE FUN.
Go to KentuckyPlunge.com, and tell us you
want to play, but you’re too Chicken. If you
raise $75 (or $50 for Junior Chickens), you’ll
get a “Too Chicken to Plunge” t-shirt. Then if
you collect more donations, you’ll be eligible
for all the same great Plunge merchandise that
the Polar Bears earn.
YOU COULD EVEN WIN THIS YEAR’S TOP
FUNDRAISING CHICKEN AWARD!
2016 POLAR PLUNGE
SPONSORS
PLUNGE SCHEDULE
SNOW, RAIN OR SHINE!
Presented by
THURSDAY, MARCH 3
Early Check-in
1 – 7 P.M.
Doc’s Cantina
1201 River Rd.
AVOID LONG LINES ON EVENT DAY!
All participants must turn in funds and have a
signed waiver on file prior to participation. Just
turn in your collected donations and you’ll get
everything you need to be ready to Plunge.
SATURDAY, MARCH 5
9:30 A.M. – NOON On-site Check-in
10 A.M. Opening Ceremony/Costume Contest
10:30 A.M. Plunging Begins
All plungers must be on-site by 12:30 p.m. in
order to plunge.
•
WHY WE PLUNGE
We plunge for the athletes. Special Olympics
Kentucky is a non-profit organization that offers
year-round athletic training and Olympic-type sport
competitions for children and adults with intellectual
disabilities. Each year in Kentucky, thousands of
athletes train and compete in any of 15
official sports.
All of the donations you collect remain in Kentucky
to benefit local children and adults with intellectual
disabilities. If you would like to serve as a volunteer,
receive information about getting an athlete
involved or learn more about Corporate Partnership
Opportunities, please call 502-326-5002 or
800-633-7403 or visit soky.org.
SIGN UP AT
KENTUCKYPLUNGE.COM
LIKE US ON FACEBOOK
FACEBOOK.COM/KYPOLARPLUNGE
TOSS YOUR BOSS
at the Polar Plunge, all to benefit
Special Olympics Kentucky!
FREEZIN’
FOR A REASON
SATURDAY, MARCH 5
LOUISVILLE
BROWN-FORMAN
AMPHITHEATER
To Toss Your Boss, your co-workers must work
together to raise a minimum of $250!
Raise $1,000 and your company can plunge
alongside your boss!
To reserve a spot for your boss or to learn more,
contact Jennifer McMahon at [email protected]
or call 502-326-5002
BENEFITTING SPECIAL OLYMPICS KENTUCKY
GOOD TIME FOR A
GOOD CAUSE
Each year the Polar Plunge helps raise money for
Special Olympics Kentucky. Helping is easy and fun!
Here’s how:
PLUNGE PRIZES
GRAND PRIZE
$1,000 AAA Travel Certificate
PLUNGER *
PLAN...
Start a Plunge team with friends, family, or co-workers,
or Plunge on your own – costumes encouraged!
PLEDGE...
Raise at least $75 in donations per team member. Junior
Plungers ages 6 – 18 only need to raise $50.
SUPER
($1,000 and plunge at three
locations):
PRIZE: Polar Plunge Robe
$2,500 AND UP
All-weather Official Polar Plunge
Jacket
AND PLUNGE...
Take a leap into the chilly Ohio River. You’ll be freezin’
for a reason!
$1,000 – $2,499
Plunge Zip-up Hoodie
FOR PRIZES!
The more donations you collect, the better the
Plunge prizes!**
$500 – $999
Plunge Knit Hat
ALL DONATIONS YOU COLLECT WILL BENEFIT
SPECIAL OLYMPICS KENTUCKY
THE BIG CHICKEN
The top fundraising Chicken
PRIZE: Plaque
PHONE (________)______________________________
BIRTHDATE _______ AGE ___ o MALE o FEMALE
o PLEASE SEND ME EMAIL UPDATES ABOUT SPECIAL OLYMPICS
IN PERSON
at Early Check-in or on Plunge Day
EMPLOYER _____________________________________
PLUNGING:
OR JUST USE THIS FORM!
o AS AN INDIVIDUAL
o TOO CHICKEN TO PLUNGE
TOP FUNDRAISERS
The top three fundraisers will be entered into a
Grand Prize Drawing to win a $1,000 AAA Gift
Card (1 in 15 chance).
TOP FUNDRAISERS
1ST - Trophy
2ND - Trophy
o AS A SOKY ATHLETE
DONATIONS
o JUNIOR PLUNGER
I am raising funds on behalf of Special Olympics
athletes. I’ll take the Plunge and defy Old Man Winter,
and you can join me in the spirit by making a donation.
Your contribution helps support year-round sports
training, competition, and programs for children and
adults with intellectual disabilities. Please make checks
payable to Special Olympics Kentucky. Sponsors of $25
or more will receive a receipt.
PLEDGE
AMOUNT
DONOR NAME
3RD - Trophy
o WITH A TEAM
(CIRCLE DIVISION)
LAW ENFORCEMENT
CORPORATE/CIVIC
SCHOOL/UNIVERSITY
TEAM NAME ________________________
I AM UNABLE TO PLUNGE, BUT I WANT TO DONATE:
o $25
o $50
o $100
o $ __________
Please enclose check made payable to “Special Olympics
Kentucky”
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, AND PARENTAL CONSENT
AGREEMENT (“AGREEMENT”)
In consideration of participating in the Polar Plunge, I represent that I understand the nature of
the event and that I and/or my minor child am qualified, in good health, and in proper physical
condition to participate. I acknowledge that if I and/or my minor child believe event conditions
unsafe, I and/or my minor child will immediately discontinue participation in the Activity.
I fully understand that the Polar Plunge event involves risks of serious bodily injury, including
permanent disability, paralysis and death, which may be caused by my own actions, or inactions,
those of others participating in the event, the conditions in which the event takes place, or the
negligence of the “releasees” named below; and that there may be other risks either not known
to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all
responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or
my minor child’s participation in the Activity.
I hereby release, discharge, and covenant not to sue Special Olympics Inc. and Special Olympics
Kentucky, Inc., its respective administrators, directors, agents, officers, volunteers, employees, other
event participants, any sponsors, advertisers, and, if applicable, owners and lessors of the premises
on which the Activity takes place, (each considered one of the “RELEASEES“ herein) from all liability,
claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in
part by the negligence of the “releasees” or otherwise, including negligent rescue operations; and I
further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on
my and/or my minor child’s behalf, makes a claim against any of the Releasees, I will indemnify,
save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any
may incur as the result of such claim. I am also granting my permission to Special Olympics to use
my likeness, name, voice and words in television, radio, film, newspapers, magazines and other
media, and in any form, for the purpose of advertising or communicating the purpose and activities
of Special Olympics and/or applying for funds to support those purposes and activities.
Polar Cups will be given to the Top Fundraising Team
as well as largest team in each of these divisions:
• Law Enforcement
• School/University Group
I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT, AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights
by signing it and have signed it freely and without any inducement or assurance of any nature and
intend it be a complete and unconditional release of all liability to the greatest extent allowed by law
and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding,
shall continue in full force and effect.
*must register as “Super Plunger” online
**Prizes not cumulative for donation totals over $2,500.
Raise up to $999? Get a Polar Plunge t-shirt, towel and
knit hat. Raise $1,000 or more? Get the prize at your
final fundraising level, plus a Polar Plunge t-shirt, towel
and knit hat. Prize t-shirts and towels are available for
pick-up at the event. All other prizes will be mailed
directly to the winners.
CITY/STATE/ZIP _________________________________
EMAIL _________________________________________
• Corporate/Civic
• Bring friends to cheer you on
• Remember your robe, towel, and a change
of clothes
PRIZE: Plaque and a Golden Plunger
ADDRESS ______________________________________
ONLINE
KentuckyPlunge.com
TEAM AWARDS
COLD DIP HOT TIPS!
• Wear old tennis shoes to protect your feet
THE GOLDEN PLUNGER
Best individual and group costumes
NAME _________________________________________
3 WAYS TO GET
STARTED
$250 – $499
Plunge Towel
$75 – $249
Plunge Long-sleeved T-shirt
• Give your team a theme – good costumes
make a big splash
INDIVIDUAL AWARDS
Visit KentuckyPlunge.com. From there you can
recruit your Plunge team, set your donation goal
and raise funds.
TOTAL:
Signature: X ________________________________________________________
X____________________________________________________________
(Parent/Guardian signature if participant is less than 18 years of age)