Thanks for your interest in the
Wright’s Chapel Polar Bear Plunge at Lake Land’Or
When? February 7, 2015
Where? The main beach at Lake Land’Or
Why? To raise money for local emergency assistance
Who? YOU!!!
Dress up in a silly costume and get ready to get wet! Costume contest will
start around 11:30 and we’ll hit the water at Noon!
It’s a great community event with music, activities, food, bonfires, hot
chocolate, s’mores and more!
Each participating church keeps the money its members raise to use in its
emergency assistance programs.
Money raised by plungers not affiliated with a participating church goes to
a community organization that helps those in need.
Since 2006, over 200 people have gotten cold so that others can stay warm
and raised over $100,000!!!
Be a part of this year’s event!
Start gathering your sponsors NOW!!
Wright’s Chapel Polar Bear Plunge at Lake Land’Or
Costume Contest
While seeing people go in freezing water is quite entertaining, that’s not all the entertainment that
morning. Mama and Papa Bears are invited to participate in our costume contest prior to plunging.
We’ve had a nun, a mermaid, a polar bear and a bride and groom ready to “take the plunge” in past
contests. So be creative and come ready to have fun!
CAUTION – SAFETY CONSIDERATIONS
EVERYONE MUST WEAR SHOES!!!!
Be prepared – Bring a change of clothing, towels and shoes.
Less is best! The less clothing worn in the water, the easier to remove after plunging.
It is very important to change into warm clothing after plunging.
Eat a light meal at least one hour before the event.
Be aware of the possibility, if you decide to completely submerge your body, you may
experience a loss of consciousness and/or light-headedness.
Absolutely no horseplay in the water!
NO DUNKING
Persons with medical problems should consult their doctor prior to participating in
this event.
Medical personnel will be on the premises to administer first aid.
If you are injured or feel ill during the event, please tell the medical personnel who are
on the scene even if you do not seek treatment. Anyone with heart problems – please
just be a cheerleader.
Do not stay in the water longer than 15 minutes. Body heat is lost 25 times faster in
water than air.
Do not remove clothing until plunge time. Event will be started with a flag and horn.
Do not drink alcohol. It does not warm you up – it accelerates hypothermia!
Drink warm fluids after the plunge to raise your body temperature.
VASELINE!! A coat of Vaseline can help insulate your body.
Polar Bear Plunge
Mama or Papa Bear
I have volunteered to be a Mama/Papa Bear at the Wright’s Chapel Polar
Bear Plunge at Lake Land’Or on February 7, 2015. You can support
emergency assistance in Caroline County and see me get very wet and very
cold at the same time! My goal is to raise $500 – please help!
Name
Phone #
Sponsorship Amount
Wright’s Chapel United Methodist Church
P.O. Box 193, Ladysmith VA 22501
(804) 448-1251
This receipt acknowledges a donation to the Wright’s Chapel Polar Bear Plunge. No goods or services were received in
exchange for this donation.
Amount: $________
Donor: __________________________________________
Received by: __________________________________________________
Date: ______________________
Wright’s Chapel United Methodist Church
P.O. Box 193, Ladysmith VA 22501
(804) 448-1251
This receipt acknowledges a donation to the Wright’s Chapel Polar Bear Plunge. No goods or services were received in
exchange for this donation.
Amount: $________
Donor: __________________________________________
Received by: __________________________________________________
Date: ______________________
Polar Bear Plunge
Wright’s Chapel United Methodist Church
P.O. Box 193, Ladysmith VA 22501
(804) 448-1251
This receipt acknowledges a donation to the Wright’s Chapel Polar Bear Plunge. No goods or services were received in
exchange for this donation.
Amount: $________
Donor:
__________________________________________
Received by:
__________________________________________________
Polar Bear Plunge
Date: ______________________
Wright’s Chapel United Methodist Church
P.O. Box 193, Ladysmith VA 22501
(804) 448-1251
This receipt acknowledges a donation to the Wright’s Chapel Polar Bear Plunge. No goods or services were received in
exchange for this donation.
Amount: $________
Donor:
__________________________________________
Polar Bear Plunge
Received by: __________________________________________________
Date: ______________________
Polar Bear Plunge
Wright’s Chapel United Methodist Church
P.O. Box 193
8063 Ladysmith Road
Ladysmith, Virginia 22501
www.wrightschapel.org
(804) 448-1251
Fax: (804) 448-5771
The Wright’s Chapel Polar Bear Plunge at Lake Land’Or began in response to the rising costs of home
heating with our first plunge in February, 2006. Since then, over 200 people have gotten cold so that others
can stay warm and have raised over $100,000! The money has been distributed through the participating
churches and the Caroline County Department of Social Services, CERVE (Caroline Emergency Relief
Volunteer Efforts), the St. Mary’s Food Bank, and Glory Outreach.
With the current state of the economy, the need for emergency assistance is even higher and growing every day. We hope to
make the 2015 Plunge the most successful yet as we strive to help families in Caroline County keep warm this winter. This
year the funds will be distributed through the participating churches, the St. Mary’s Food Bank and Glory Outreach in
Bowling Green.
Sponsoring businesses will have their logo/business name on event t-shirts and will receive a sticker to put in the window of
the business to let customers know of the support. Businesses that donate at least $500 will have the opportunity to have a
table inside the lodge during the event (space is limited – first come, first served). Sponsors should pledge their support by
January 1st and send a PDF of their company logo to molly@wrightschapel.org.
There are various ways to sponsor the Plunge. Business can make a financial contribution or an in-kind contribution. In
2009, we had sponsors donate $100-$500, t-shirts, printing services, and building fees. Businesses could:
•
Sponsor the costume contest and provide the prize.
•
Provide towels for the plungers to dry off (could have the Plunge logo and/or your business name)
•
Provide our participant t-shirts
•
Sponsor an ad in the Caroline Progress
•
Provide prizes for the top fund-raising plungers
Businesses are welcome to suggest other options for sponsorship as well. Please fill out the attached form and return to
Wright’s Chapel UMC – Polar Bear Plunge, P.O. Box 193, Ladysmith VA 22501.
Wright’s Chapel Polar Bear Plunge
2015 Sponsorship Form
Sponsor name (as it should appear in all printed material):
_________________________________________________________________________________________
Name (please print): _____________________________________________________________________
Signature: ______________________________________________________________________________
Company/Organization: _________________________________________________________________
Address: ________________________________________________________________________________
Daytime Phone: _______________________
Email: ________________________________________
Financial Sponsorship Amount: $___________
In-Kind Sponsorship: ____________________________________________________________________
_____ I would also like information about taking the plunge!
_____ This is a general sponsorship of the event.
_____ This donation sponsors a specific participant: ________________________________
Businesses may have their logo or business name on the t-shirt for a donation of at least $100. Donors will also
receive a window sticker to advertise their support of the plunge. Larger donors will have prime placement!
Businesses that donate at least $500 will have the opportunity to have a table in the lodge (near the registration
table) during the event – space is limited, first come, first served.
Logos should be e-mailed to molly@wrightschapel.org no later than January 1st.
Wright’s Chapel Polar Bear Plunge
I would like to volunteer to be a Mama or Papa Bear at the Wright’s Chapel Polar Bear Plunge on
February 7, 2015. By volunteering, I agree to raise money for heating assistance in Caroline County
with a goal of at least $500.
I will sign the waiver before going in the water.
Name: __________________________________________________________________
Address: ________________________________________________________________
City: ________________________ State: ________ Zip: _____________________
Phone: _______________________ E-mail: _________________________________
Signature: ______________________________________________________________
T-shirt Size: _______ (You must register by Jan. 15th and raise at least $100 to be guaranteed a tshirt.)
_____ I would rather have a hooded sweatshirt than a long-sleeve t-shirt. I have included $10 to
cover the extra cost with this form.
___ I am affiliated with a participating church: ____________________________
(Have your sponsors write checks to your church and turn in your money to
your church. But PLEASE let us know how much you raised!)
___ I am not affiliated with a participating church.
Return this form to:
Wright’s Chapel United Methodist Church
P.O. Box 193
Ladysmith VA 22501
Fax: (804) 448-5771
WRIGHT’S CHAPEL UNITED METHODIST CHURCH/LAKE LAND’OR
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, AND
PARENTAL CONSENT AGREEMENT (“AGREEMENT”)
In consideration of participating in the Polar Bear Plunge I represent that I understand the nature of Polar Bear
Plunge events and that I and/or my minor child am qualified, in good health, and in proper physical condition to
participate in such event. 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 event.
I fully understand that Polar Bear Plunge events involve risks of serious bodily injury, including 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 by 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 event.
I hereby release, discharge, and covenant not to sue Wright’s Chapel United Methodist Church or Lake
Land’Or, its administrators, directors, agents, officers, volunteers, and employees, other participants, any
sponsors, advertisers, and if applicable, owners and lessors of premises on which the event 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.
_________________________________
Printed name of participant
__________________________________________
Signature of Participant (only if age 18 or over)
Date: __________________
__________________________________________
Signature of Parent/Legal Guardian
(if participant under age 18)
Emergency Contact for day of event: _______________________________________________
Name & Phone # (during event)