Special Event Permit Detail

Application Information

ID: 202   Event: Polar Bear Plunge
Status: IN REVIEW
Application Date: 10/14/2009    Event Date: 12/03/2009
Organization: Colorado State Greek Life   Phone: 970-491-3111
Address: 8033 Campus Delivery
Contact 1 Name: Andrea Brock
Address: 8033 Campus Delivery
Fort Collins CO 80526
Email: Send email
Phone: 307-899-3332
Contact 2 Name: Nate Johnson
Address: 8033 Campus Delivery
Fort Collins CO 80521
Email: Send email
Phone: 303-475-8391


Event Information

Permit Type(s): Parks and Open Spaces
Location:
Horsetooth Reservoir

Description:
We are planning a polar bear plunge philanthropy event for Colorado State Greek Life. Contestants will enter the event, which will raise money for a local cause, and will jump into the cold resovoir. The event is sponsored by Colorado States Fraternites and Sororites. Contestants will enter the event at their own will and will be required to sign a legal waiver. The waiver will be drafted with help of CSU Legal Services. We have already contacted rescue SCUBA divers, lifeguards, and registered EMT's about being there for safety issues. Also, we are planning on getting an ambulance on site for the event. We would like to jump off a dock where the contestants can get out of the water quickly and have an easy exit. The contestants must register for the event early so anyone jumping into the water will have signed a waiver. Spectators will be from all over the community. We are hoping to get community support and we are planning on donating all funds raised to a local cause in the community. This is a new event for Colorado State Greek life and we are very open to suggestions on how to make this event succesful and possible.

Estimated Participants: 200   Estimated Spectators: 200
Hours:
   Thu. 12/03/2009: 3 PM - 6 PM

Attachments:

Additional Information Submitted by Applicant

1. Date Submitted: 10/21/2009
Attahced is the waiver for the event.
Also, I am in contact with divers that I know personally in the area about donating there time to the event. I will let you know when I have contacted them.
We have just contacted the ambulance and are sheduling an ambulance on site with them.
Finally, we have the insurance, I am just needing a copy of the certificate sent to me.
Hope this all helps
Andrea Brock

2. Date Submitted: 10/21/2009
We just attached an emergeny medical plan as well.


3. Date Submitted: 10/21/2009
Just a note, we are working at getting a police officer at the event breathalyzing the contestants before they enter the water. This is for liability and safety, alcohol can speed up hypothermia and shock in cold water and we dont want an added risk. This is not to get anyone in trouble, just keep us all safe! I have contacted Fort Collins PD about this and will provide more details when I hear back from them

4. Date Submitted: 10/22/2009
Here is the Certificate of Insurance.

5. Date Submitted: 11/04/2009
I contacted Gene with Dive Rescue today and we have started working out the best way to handle the event with divers.

Reviewing Agency Comments/Status

Email the County Manager regarding this application.

Health

Status: Approved

Comments: Thank you for additional information. Please be sure that all event staff are familiar with emergency medical and communications plans prior to the start of the event

Thank you,

Lee Anne Kempton
970-498-6793
10/27/09

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Larimer County Dive Rescue

Status: Approved

Comments: Spoke with Andrea at length about event and realistic Dive requirments. Our involvement from a Dive Operation perspective may not be possible. We can be on scene, in a Safety Operations capacity. We are approving this event based on safety measures being in place as discussed.

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Parks & Open Lands

Status: Not Reviewed Yet

Comments: 10/15/09: Application has been forwarded to area manager for review.
Comments from Mark Caughlan, District Manager- The dates and times are fine. Mark will call and discuss medical requirements and fees.

11/09/09 - Spoke with Andrea today and worked out medical and dive details. The event is good to go from my stand point.

11/18/09: Fee worksheet is being emailed to you today. Please sign the worksheet and return with payment. Your event is approved upon receipt of payment in full.

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Poudre Fire Authority

Status: Approved

Comments: Please ensure access for emergency vehicles in the event of a medical or other type of emergency.

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Poudre Valley Hospital

Status: Approved

Comments: Please contact me at 217-2846 if you would like to schedule an ambulance.
Clay Young

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Risk Management

Status: Approved

Comments:

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