Event Registration Form

Penguin Plunge

Get ready for the coolest event of the year! Join us at Northlake Park for the Penguin Plunge on February 17!
Your Name*

First NameLast Name
Email Address*
example@example.com
Contact Number
Please enter a valid phone number.
Which Youth Council Member are you making a donation for? (For Donations ONLY)
*This is for the donation box below. You do not need to fill this out unless you are donating extra.

Penguin Plunge Prices:

Penguin PlungeRegistration only for the plunge only.

$5.00 Quantity

Take The Extra PlungeRegistration and a shirt for the event.

$20.00 Quantity

Penguin Plunge (Shirt Only)

$15.00

Donation to the Lehi Youth Council Please indicate who your donation is for above.

$1.00 Quantity

Total

$0.00