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Please provide all information requested. Incomplete forms may not be accepted.
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Date:
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Intramural Activity:
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Division A
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Division B
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Free Agent
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Conflict Days:
(select up to three)
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Team Name:
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Captain:
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Captain's Phone:
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Captain's Email:
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Co-Captain:
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Co-Captain's Phone:
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Co-Captain's Email:
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PLEASE NOTE: All captains must attend a Captain's meeting. You
will be contacted with information on when exactly the meeting will be held.
Typically, the captain's meeting for league sports will be at 9:15pm, the same Thursday
night that registrations are due. The penalty for not attending the captain's meeting
may be potential loss of eligibility to play in the league. Send a team representative
if you are not available.
Please list the eligible team roster below.
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Names:
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Names (cont.)
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Since participation in the Intramural Sports program is purely voluntary, you should
be aware of the risks involved when you choose to participate in any activity. The
Campus Recreation Center and the University of Massachusetts Lowell assume no responsibility
for any injury sustained during participation.
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