Fall 2011 Intramural Sports Registration Form

Submit One Registration Form per Team

Registration Period I
ALL SECTIONS (1-7) Need to be Completed!!

1. Team Name: 2. Captain:

PU ID#: Phone: Email: Co-Captain: PU ID#: Phone: Email:

3. What sport would you like to play? (Please check one per form)
Program (Check One)
Frat Black (FB) Frat Gold (FG) Sorority (SO) Mens Coop (MC) Womens Coop (WC) Mens Res. Hall (MR) Womens Res. Hall (WR) Mens Open (MO) Mens Open Rec (MOR) Womens Open (WO) Grad/Fac/Staff (GS) Co-Rec (CR)

Activity (Programs Offered) check one

4v4 Sand Volleyball All Programs Flag Football - All Programs Singles Tennis

Entry Period
Tues. & Wed., Aug. 30-31 Tues. & Wed., Aug. 30-31 Tues. & Wed., Aug. 30-31

Fee
$40/team $25/team $5

My signature below certifies that I understand the Intramural Sports handbook and have completely checked the eligibility of all the players on my team. If there is any discrepancy, I will assume full responsibility. If there are any questions about rules or eligibility, I will contact the Intramural Sports staff. I am also aware of the MANDATORY Captains Quiz located on the website and failure to complete by the deadline will result in a forfeit. I realize it is my obligation, as a Captain to have a representative from my team take the captains quiz. If I fail to comply with these procedures it is my obligation and responsibility to seek out all necessary information. *** The Intramural Staff will NOT be responsible for contacting captains or teams (including by e-mail). *** I also understand the Intramural Sports forfeit fee policy. I have fully read and understand that a $20.00 forfeit fee will be assessed to my personal account through the University billing system if my team no-show forfeits a scheduled intramural event. Due to weather, field conditions, cancellations, forfeits, etc. the Intramural Sports Department cannot guarantee that all scheduled games will be played. No refunds will be issued after the season begins.

4. Name:
Please Print

5. Date: 7. PU ID#:
(DRS Staff to complete)

6. Signature:

DATE:____________________________________

STAFF INITIALS that verifies this form: __________________________