Evergren Lake Plunge
* Required field   
Check if you want to be a Plunger *
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Male Female
* MM/DD/YYYY
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* xxxxxxxxxx or 10 digits, only one phone # required
* Select a country name
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Use a consistent team name so that your team can win the team competition!
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(This value counts towards your Fundraising Goal. You can enter $0.)
*(Suggested goal is $250, enter any amount, can be raised later)
“Set a goal and ask your friends and family to pledge your plunge”
* for use during the event
* xxxxxxxxxx or 10 digits
Plungers List