2021 Jackalope Jump Scheduling
2021 Jackalope Jump planning is here! I hope you're as excited as I am about the upcoming Jackalope Jump season.
Please fill out all the information in this form by January 8, 2021, so that your location is included in the 2021 Jackalope Jump schedule and marketing.
(Or please call Cathy Bisiar or Tara Short at 307-235-3062 with your information).
NOTE: If there is more than one jump coordinator for your event you may fill out one form and include all coordinator names, email addresses and contact phone numbers, separated by commas, on this form.
Please select a date between Feb. 27 and April. 24, 2021, to hold your Jackalope Jump.
Thank you for all you do!
* Required
Coordinator Name (First and Last)--if more than one coordinator, please separate names with a comma
*
Your answer
Email address --if more than one coordinator please separate emails with a comma
*
Your answer
Phone number (best contact number)--if more than one coordinator please separate phone numbers with a comma
*
Your answer
Jump Location City/Town (i.e. Gillette, Sheridan, etc.)
*
Your answer
Please select a date between Feb. 27 and April. 24, 2021 to hold your Jackalope Jump.
*
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/
DD
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YYYY
What 2021 Jackalope Jump type of "water source" will you be using? (check only ONE) Please explain "Other" if you choose that one. NOTE: due to health and safety of all, the option to use a Pumpkin skin/bladder is no longer available - we are sorry.
*
Pool (in ground/facility)
Open water/natural body of water (pond, river, lake)
Fire Truck Fog/Snozzle Hose
Other:
Required
Jump Location Name (i.e. Wheatland Reservoir, Lovell High School)
*
Your answer
Jump Location: Address, City, State & Zip (i.e. 502 Hampshire Ave., Lovell, WY 82431)
*
Your answer
Jump Registration time
*
Time
:
AM
PM
Time of Jump
*
Time
:
AM
PM
Fundraising Goal Amount?
Your answer
Please list major sponsors here:
Your answer
What catchy slogan ideas do you have for 2021? (i.e. "Be Bold Get Cold", "Freezin for a Reason")
Your answer
What incentive ideas are you thinking about? (i.e. shirts, beach towel, gloves, cooler, etc.)
Your answer
Any favorite color of incentives/shirts you'd like to see for 2021 JJ.
Your answer
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