Intramural Roster Sign Up Form

Sport*
Choose One:*
- Men's
- Women's
- Co-Ed
Team Name:*
Team Captain #1*
First Last
Team Captain #1 Phone Number*
Team Captain #1 Email*
Team Captain #1 Room Number
Team Captain #2 (optional)
First Last
Team Captain #2 Phone Number
Team Captain #2 Email
Team Captain #2 Room Number
Please list who will be on your team & their email addresses*
Email of person submitting this form:
Eligibility: This certifies that I know and understand the intramural eligibility rules and have completely check the eligibility of all the players of my team. If there is a discrepancy, I will assume full responsibility. Failure to comply with these rules will result in the team's disqualification. By Submitting this form you agree with the above terms.
Email
This field is for validation purposes and should be left unchanged.