2019 Polar Plunge Registration
Complete the form below to submit your registration for the 2019 Polar Plunge, part of the Banner Elk Chamber of Commerce's Small Town Christmas weekend. You will be directed to PayPal to pay the $25 registration fee ($15 for college students, be prepared at event to show valid college ID). You may also bring payment (cash, check, credit card) into the Chamber office. Please see
for event details and requirements. Direct any questions to
. Thank you for your participation!
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Emergency Contact - Name
Emergency Contact - Relationship
Emergency Contact - Telephone
Emergency Contact - Email
I confirm that I am age 18 or older
Preferred T-Shirt Size
We cannot guarantee that we will have your requested size.
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