Sign-Up Sign-up below as an Individual Swimmer, Create a New Team, or select an existing Team to join. Account Info If you are a returning Penguin from last year's Penguin Swim, please log in first before signing up for this year's event. Thank you! Email This will be your username Confirm Email Password Confirm Password The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).Must be rated good or strong Registration Details Single — For those registering just one participantMultiple — For those who want to register more than one participant at the same time. Participants registered this way will use the same username and password to login to their accounts. Registration Type Single Multiple Select Team No Team Create a New Team Frosty Flip Flops Team Details New Team Name Team Type Business Community Group or Organization Youth/Family Team Donation Goal $1,000 $750 $500 $250 $200 $150 $100 Other Donation Amount Cyber Swim Registration There is an additional fee of $10 per participant for the Cyber Swim to cover shipping costs.Shirts and wristbands will be mailed on or around December 26th for participants who register on or before December 10th.Shirts and wristbands will be mailed on or around January 2nd for participants who register after December 10th. I will be doing a Virtual Penguin Swim and will NOT be attending the Penguin Swim in person and would like my wristbands and shirts mailed to me. Registrant Information First Name Last Name T-Shirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large Individual Type Adult - 19 and Over Youth - 18 and Under Your Donation Goal $1,000 $750 $500 $250 $200 $150 $100 Other Donation Amount Address 1 Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone (xxx-xxx-xxxx) Birth Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 Participant Information Please list all participants, including yourself, below. First Name Last Name Birth Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 T-Shirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large Type Adult - 19 and Over Youth - 18 and Under Donation Goal $1,000 $750 $500 $250 $200 $150 $100 Other Donation Amount Add a participant Proceed to Payment
