University of Massachusetts Lowell
Campus Recreation Center

Intramural Roster Form

Please provide all information requested.  Incomplete forms may not be accepted.
Date:
Intramural Activity:
  Division A          Division B            Free Agent
Conflict Days
Team Name:
Captain:
Captain's Phone:
Captain's Email:
Co-Captain:
Co-Captain's Phone:
Co-Captain's Email:
   

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.

Names Names (cont.)

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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