Intramural Activity Entry Form
This form is required for entry for all Recreation Services sponsored intramural activity.  A new form will be required for each participation.
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Team Name *
Sport *
Division *
Please mark your team's BEST TIMES & DAYS to play.
Monday
Tuesday
Wednesday
Thursday
6PM - 7PM
7PM - 8PM
8PM - 9PM
9PM - 10PM
10PM - 11PM
Roster
A team can only have 15 players.  If the team has not reached the roster limit, players can only be added if the Captain comes to the Recreation Services office.  Additions to the rosters can not be added 24 hours after the first game.
Captain (Full Name), G-Number *
Captain's Telephone *
Co-Captain (Full Name), G-Number *
Co-Captain's Telephone *
Teammate #3 (Full Name), G-Number
Teammate #4 (Full Name), G-Number
Teammate #5 (Full Name), G-Number
Teammate #6 (Full Name), G-Number
Teammate #7 (Full Name), G-Number
Teammate #8 (Full Name), G-Number
Teammate #9 (Full Name), G-Number
Teammate #10 (Full Name), G-Number
Teammate #11 (Full Name), G-Number
Teammate #12 (Full Name), G-Number
Teammate #13 (Full Name), G-Number
Teammate #14 (Full Name), G-Number
Teammate #15 (Full Name), G-Number
Participation Agreement
This certifies that I know and understand the intramural eligibility rules and have completely checked the eligibility of all players on my team.  Failure to comply with the rules will result in disciplinary action against you and/or your team.  The persons listed above have been advised that they participate at their own risk.  MWSU is not responsible for possible injuries incurred while participating.  It is strongly recommended that all participants have adequate health status and personal accident insurance before participating.  Eligibility rules are on the Recreation Services website.
Captain's E-Signature *
Date *
MM
/
DD
/
YYYY
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