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* 1. List all the people in your party that will be attending the North Quincy Polar Plunge.  Please be sure to provide first and last names.

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* 2. Please provide a primary email contact in case we need to cancel or reschedule this event.

Thank you for registering. We ask those attending to donate $25. All proceeds go to the Mighty Quinn. Please make payments via Venmo @BENEFIT_TMQ23

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