University of Massachusetts Lowell
Campus Recreation Center

Intramural Team Entry Form

Date:
Sport:
Team Name:
Captain:
Captain's Phone:
Captain's Email:
     
Division League  
Men 1st Choice
Women 2nd Choice
Co-Rec 3rd Choice

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 responsibility for any injury sustained during participation.

Please list the eligible team roster below.

Name Phone (Campus or Cell) Email


| Return to Campus Recreation Center |