Polar Plunge Polar Plunge Polar Plunge Polar Plunge
  • Host a Polar Plunge
  • Locations
    • December Plunges
      • CCPAT – December 8
    • January Plunges
      • Chatham-Kent – January 21
      • Niagara – January 28
    • February Plunges
      • Brant/Brantford – February 4
      • Conestoga PSFF – February 10
      • Kingston – February 12
      • Port Colborne – February 12
      • Smiths Falls – February 16
      • McNab/Braeside – February 18
      • York Region – February 23
      • Belleville – February 24
      • Windsor-Essex – February 24
      • Toronto – February 25
      • St. Thomas – February 28
    • March Plunges
      • Durham Region – March 2
      • Barrie – March 4
      • Greater Sudbury – March 4
      • Ottawa – March 4
      • Waterloo Region – March 4
      • London – March 7
      • Woodstock – March 8
      • Cobourg/Port Hope – March 23
      • Norfolk County – March 25
      • Peel Region – March 25
      • Ontario Police College – March 28
      • West Grey – March 31
    • Virtual Plunge
  • Incentives
  • Communities & Schools
  • How It Works
    • Why We Plunge
    • Resources
      • Pledge Form
      • Toolkit
  • Contact Us

Slide Host Request Form
If you are a Polar Plunge host, please complete this form to provide us with the details to set up your in-person plunge registration page. Note that this form is for in-person plunges only, as the virtual plunge will be provincially run.
Your Name(Required)
(Community name)
This text will appear on the front page of your plunge site - you may include any details specific to your plunge, including any social media, photo contests, etc.
MM slash DD slash YYYY
Start Time(Required)
:
End Time(Required)
:
Will registration begin earlier than the plunge start time?(Required)
If so, please indicate registration start time:(Required)
:
Suggested registration fee is $30
Would you like to include a "fundraise to waive" registration option?(Required)
This will give registrants the option to register without paying a registration fee, with the understanding that they must fundraise to a certain point by the date of the Polar Plunge. Those who do not will be expected to pay the registration fee upon arrival at the plunge. NOTE: Plunge organizers will need to monitor these participants at arrival - your registration list will indicate those who did/did not meet the fundraising requirement.
This is the amount that a registrant must fundraise to waive their registration fee.
Plunge Location(Required)
Actual place of the event
Note: plunges that do not specify a registration deadline will have their online registration automatically closed at 4:00 PM ET on the Thursday before the plunge.
MM slash DD slash YYYY
If you are not the primary contact for the plunge, please indicate their name below:
Max. file size: 64 MB.
Will you require any additional information from registrants? Please list additional questions below:
Note: the following questions will be included by default for every plunge registrant: t-shirt size, law enforcement and/or Special Olympics community affiliation, vaccination status
Will a downloadable pledge form be needed?(Required)
Would you like weekly registration reports/updates?(Required)
Will a registration report be required for the day of the event?(Required)
Purchase Items
If your plunge has items for sale that you would like purchasable through the site, please list them below:
Product (with description)
Price
Quantity to be sold
 
Please upload logos at their highest resolution.
Drop files here or
Max. file size: 64 MB.

    ACKNOWLEDGEMENT OF TRADITIONAL LAND

    We acknowledge that the Torch Run Ontario office is located on the traditional land of the Huron-Wendat, the Haudenosaunee, and most recently, the Mississaugas of the Credit First Nations.

    This land is governed by the Dish with one spoon covenant between the Haudenosaunee Confederacy and the Confederacy of Ojibway and Allied Nations.

    This covenant is an agreement to share, work and protect this land together in harmony.

    Today, this meeting place is still the home to many Indigenous people from across Turtle Island and we are grateful to have the opportunity to work, live and play on this land.

    If we can improve on this statement, please email us at info@specialolympicsontario.com.

    Special Olympics Ontario ©2022
    Registered Canadian Charitable Number: 11906 8435 RR0001

    Your ticket for the: Host Request Form

    Title

    Host Request Form

    CAD