Plunge Revenue Share Application for Delegations

This form must be submitted prior to your participation in the Polar Plunge in order to receive shared revenue funds. All applications must adhere to the following timeline:

Step 1: Complete this form at least 30 days before your Plunge participation.

Step 2: After submitting your application, register your Plunge team. Your team name must match the one entered in this form.

Step 3: Special Olympics Minnesota will review your application within 5 business days and work with your Area and/or local program to ensure shared revenue procedures are properly followed. The intent of the application is to cultivate a coordinated fundraising effort between the local, area and state programs.

Plunge info

Delegation*

Hidden

2021 Plunge location*

Plunge team name*

Use your delegation code and name (i.e., "12.WDF, Woodbury Blazing Stars"). This is also the Centralized Account where your funds will be deposited.

If you don't know your delegation code or name, please contact your Sports Program Manager. Plungers must be registered with a team online before the event takes place. Once your team is formed online, send a link to your Sports Program Manager.

Team fundraising goal*

Describe your anticipated participation in the Polar Plunge and how you plan to recruit your team and fundraise.*

How will funds raised from the Polar Plunge revenue share be used?*

If your team raises additional funds beyond the approved cap, please indicate what you would use these funds for (e.g., new uniforms, attend additional competitions)?*

Contact info

Your name*

First Last

Your role with the delegation*

Your email address*

Notes (optional)