Paper & Pen Register

If you do not wish to use the online registration below, you may print out a PDF and turn it into the Hackensack Chamber:

Online Registration

For myself and on behalf of my minor children and / or legal ward, heirs, administrators, personal representatives or assigns, do agree to hold harmless, release and discharge any and all volunteers, and any and all government entities, who may be associated with the Penguin Plunge including owners , agents, employees, offices, directors, representatives, assigns, members, owners of equipment, affiliated organizers, insurers, promoters, and others acting on its behalf of and from all claims, demands, causes of action, against Penguin Plunge, for any economic and noneconomic losses due to bodily injury, death, property or bodily damage sustained by me and/or my minor children and/or legal ward in relation to the Penguin Plunge. As a participant in this event, I understand that a photograph or videotape of me may be taken during the course of the event. I agree that any photo, video, or likeness of me may be used for commercial purposes by plunge organizers, sponsors, and/or the news media without royalties or prior consent, unless specified in writing prior to the event start.