Special Olympics New Hampshire : Register

Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender *

Male Female Other

Postal Address *

Address Line 1 *

Address Line 2

City *

Zipcode *

State *

Country *

Terms & Conditions

SPECIAL OLYMPICS NEW HAMPSHIRE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")

In consideration of participating in the Special Olympics New Hampshire Penguin Plunge (“Activity”), I represent that I understand the nature of plunge events and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the Activity.

I fully understand that plunge events involve risks of serious bodily injury, including viral infections, bacterial infections and other communicable diseases and illnesses, permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child’s participation in the Activity.

I hereby release, discharge, and covenant not to sue Special Olympics, Inc., Special Olympics Program, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

I agree to the above Terms & Conditions *

How will you Plunge this year? *

Plunger-I will plunge into the Atlantic Ocean at the Penguin Plunge in Hampton Beach on February 9, 2025
Pampered Penguin- I will attend the Penguin Plunge at Hampton Beach on February 9, 2025, receive all the benefits of a Plunger, but will NOT go in the water.
DIY- I want to receive a Do-It-Yourself kit to complete my Plunge on my own. I will receive all the benefits of a Plunger, but will not be attending the event in Hampton on February 9, 2025.

Which of the following best describes you? *

How did you hear about the Plunge or Dip? *

Would you like to donate a portion of your funds to a Local Program? *

No - I am raising funds for Special Olympics New Hampshire and all of its programs.
Yes - I am raising funds for a specific Local Program.

Joining Team Team Retelle and Associates

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address *

Terms & Conditions