Wintermama 2026 POLAR PLUNGE Registration Form

WINTERAMA Polar Plunge Registration Form

Last Registration Day - Feb 13, 2026
Attendee Information

Please fill name and contact information of attendees.
Your Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Are you signing up on behalf of a business or organization?

YesNo
What is the name of the business or organization?
I understand that my registration is not completed until all forms are completed and sent to rotary.penetang@gmail.com also that a minimum $200 pledge is required to participate.

Yes
Would you like information on the following?

Winterama ParadePoker RunJoin Rotary EventDonating to Rotary ClubAll things Rotary
Should be Empty:

WINTERAMA Polar Plunge Registration Form