Join Us January 25th At Sandy Point State Park

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Join us on January 25th
AT SANDY POINT STATE PARK
Register at PlungeMD.com
PLUNGE AT 11AM, 1PM OR 3PM
Founding Partner
Community Partner
Presenting Sponsors
Media Partners
Official Outfitter
Logistics Partners
Official Cruise Line
Official Medical Providers
Security Company
Polar Express Shuttle Partners
Gold Sponsors
Plunge Partners
Law Enforcement Partners
PlungeMD.com
Bronze Sponsors
3701 Commerce Drive, Suite 103
Baltimore, Maryland 21227
Silver Sponsors
Perf.
Official Coffee
Official Gaming Partner
MSP
FEATURING THE 18 TH ANNUAL
M S P P O L A R B EA R P L U N G E
Presented By
To Benefit
Join Us January 25th At Sandy Point State Park
REGISTER AT PLUNGEMD.COM • PLUNGE AT 11AM, 1PM OR 3PM
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For just $75 in pledges, you can take a quick dip in the All participants will receive a commemorative event
Chesapeake Bay and enjoy all the fun of PlungeFest! sweatshirt, a FREE winter festival and the warm feeling
Raise more money and earn great prizes!
of helping to support the athletes of SOMD!
New For 2014
Plunge Registration Form
Place all money raised in an envelope & bring with you. One plunger per envelope, please! Please fill out
form below completely…and boldly mark your TOTAL RAISED. Donor’s information must be clearly printed
and complete for them receive acknowledgement for tax purposes.
Pre-register online at www.plungemd.com or call 800-541-7544 (MD only) or 410-242-1515, ext. 503. Bring this
pledge sheet to event with minimum of $75 in donations. Add more names on a separate sheet if necessary.
Freeze Your
Buns Run:
Do your toes feel better in running shoes
than water shoes. Then support the
Would you rather be on top of the water then in Plunge and SOMD by running in the Freeze
it? We feel you. You can still support the Plunge your Buns Run 5K. Be a drylander. All the
by joining us for an early morning paddle on the good feelings of supporting our athletes
without the sand between your toes.
Chesapeake Bay on the day of the Plunge.
Polar Paddle:
Make all checks payable to Special Olympics Maryland. Donations are tax deductible to the extent of the law.
Sweatshirt Size: (circle)
More information on both of these events can be found at www.plungemd.com
Mr. / Mrs. / Ms _____________________________________________________________Birthdate_____________S
Raise a minimum of $75
in pledges and get a Plunge
sweatshirt and photo gift!
Presented By
To Benefit
Pre-register at www.plungemd.com
or by calling 410-242-1515 x503.
• Select your Plunge time: 11am, 1pm or 3pm on Jan. 25
(This allows us to make the event safer and more comfortable. You can
change your Plunge time after you register, without notifying us.)
• Create your personal Plunge web page, making it easy
to solicit donations online from friends, family,
neighbors and co-workers.
• Bring your personal FREEZ-E PASS and/or
completed registration form and all donations not
received online (check, cash or money order) with you to the
Plunge. (Learn more about the FREEZ-E PASS at www.plungemd.com)
Want to be part of something
bigger than yourself? Join us
for the Cool Schools Challenge
on March 5th, 2014.
Be a part of the biggest one day rally to Spread The Word
To End The Word and demonstrate your commitment by
plunging into the Chesapeake Bay with thousands of your
closest friends. Join students from across Maryland, the
US and around the world as we encourage others to stop
using the word “retarded”. It’s the same great event on a
different day with a much bigger impact that will change
the lives of the athletes of Special Olympics Maryland.
For more info, visit coolschoolsmd.com or contact us
at 410-242-1515 ext. 503 or [email protected]
• Pre-registration for either Plunge on January 25 is
encouraged but not necessary – participants can also
sign up on the day of the event beginning at 8 a.m.
A Pint-Sized Plunge for
Pint-Sized Plungers!
The Pee Wee Plunge is designed for
children ages 8 and under and their
families. It takes place in a shallow
kiddie pool that is lightly sprinkled
with ice cubes. Participants will wade
across in small groups or individually,
providing a less congested (but no
less exhilarating!) experience for the
pint-sized Plungers with plenty of
access for parents.
Scheduled for 11am on Plunge Day, the Pee Wee Plunge is another example of the family-friendly offerings that have become so popular at the event, and will no doubt transform
the “BEAR-ly There” crowd into life-long polar bears.
Corporate
Plunge
Challenge
Take a break from the office on
a Friday and Plunge with your
co-workers! Brand new this year –
the Corporate Plunge Challenge
offers businesses the opportunity
to close the office early and head to the beach for a tailgatestyle atmosphere and Plunge on Friday, January 24 at 3pm.
Teams must have a minimum of 10 members to be eligible for
team prizes.
NOTE: Teams must pre-register. If your team has less than 10
members, you must raise a minimum of $500 as a team to
participate. Participants receive a Plunge sweatshirt, free meal,
souvenir cup with two drink coupons, and the great feeling of
freezing your “fur” off for a truly worthy cause!
Plunging with a Team
is even cooler!
You don’t have to be an official organization to be a team.
Just have your family and friends join you for the big event!
A team is any group of people that wants to Plunge together,
but only teams of 10 or more are eligible for team prizes. All
team members must raise a minimum of $75. In order to be
considered for team prizes, teams must pre-register.
The team that Plunges together, travels together! Parking
reservations can be made for charter and school buses
carrying 25+ Plungers. Email [email protected] to reserve
your pass today. Check out great team incentives and
register your team today at www.plungemd.com!
Early
Plunge
Packet
Pick-Up
Skip the lines at Sandy Point
State Park by picking up your
Plunge packet ahead of time at
the SOMD office.
3701 Commerce Dr., Suite 103
Baltimore, MD on these days:
Jan. 18-19, Noon to 4pm / Jan. 20-24, 9am to 8pm
One team member can pick up packets for an entire team IF
every team member has raised a minimum of $75 and the team
rep has a signed waiver from each team member to turn in.
NOTE: You may receive a sweatshirt voucher instead of a sweatshirt at
packet pick-up and your sweatshirt can be picked up on Plunge Day.
Transportation / Parking
Visit www.plungemd.com for a detailed transportation and
parking plan, with directions to the satellite parking lots.
General parking is no longer filled first-come, first-serve on
Plunge Day. A limited number of general parking permits
will be distributed by random lottery draw and as Plunge
incentives. For more info, go to plungemd.com and review
Transportation/Parking details under “Event Info.”
Participants should use the FREE Polar Express Shuttle, which
offers transportation to and from Sandy Point State Park.
Beginning at 8 a.m., Polar Express shuttles will be transporting passengers to Sandy Point State Park from:
Nave-Marine Corps Stadium – Annapolis
Anne Arundel Community College – Arnold
Kent Island High School – Stevensville
XL XXL XXXL
Team Name (if applicable):_____________________________________________________________________________________________________
Phone: _____________________________________________________Email: _____________________________________________________________
Address:____________________________________________________City: ____________________________________State:__________Zip: ______
Donor’s Name
Address
Amount
1 (My Gift) _______________________________________________________________________________________ $ ______________
2 (Matching Gift from My Employer) _____________________________________________________________ $ ______________
3 ________________________________________________________________________________________________ $ ______________
4 ________________________________________________________________________________________________ $ ______________
5 ________________________________________________________________________________________________ $ ______________
NOTE: For the comfort and safety of all passengers, our event staff
reserves the right to deny service to anyone who is in violation of the
Plunge alcohol policy, or is acting in an inappropriate manner.
6 ________________________________________________________________________________________________ $ ______________
7 ________________________________________________________________________________________________ $ ______________
PlungeFest is Free &
Full of Frigid Fun!
8 ________________________________________________________________________________________________ $ ______________
9 ________________________________________________________________________________________________ $ ______________
Whether you come for the Plunge, for the Festival, or for
both, Saturday’s PlungeFest offers something for everyone.
10________________________________________________________________________________________________ $ ______________
11 ________________________________________________________________________________________________ $ ______________
12________________________________________________________________________________________________ $ ______________
Waiver and Release: In consideration of participating in the Special Olympics Maryland 18th Annual MSP Polar Bear Plunge, I represent that I understand the nature of the Polar Bear Plunge events
and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I and/or my minor child believe event conditions
are unsafe, I and/or my minor child will immediately discontinue participation in the Activity. I fully understand that Polar Bear Plunge events involve 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., Special Olympics Maryland, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of 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 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.
__________________________________________________________________________Date_______________________
Vendors, crafters, displays
& so much more!
Participant Signature/ or Parent Guardian Signature (if under the age of 18)
I give my permission for photographs taken at the event in which my image or the image of any of my minor children appears, to be used for promotional and/or
advertising purposes by Special Olympics Maryland, Inc., their media partners or “Releasees” included above without compensation to me or my minor children.
Plunge Policies: The Plunge and surrounding festival are family-friendly events. We ask that all attendees be respectful of the Park and their fellow
festival-goers. A full list of Plunge Policies can be found on www.plungemd.com. The event committee reserves the right to take appropriate action
against any person or persons observed to be violating these policies, which could result in ejection from the event altogether. Don’t Be A Jerk!
__________________________________________________________________________Date_______________________
Participant Signature/ or Parent Guardian Signature (if under the age of 18)
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