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TEAM REGISTRATION FORM

How To Register:
Room 222 – Physical Activity Complex – 87 Campus Drive 1. Completely fill out this form.
2. Fees must accompany this registration.
E-Mail: usask.rec@usask.ca 3. Entries are limited and are on a first come, first served basis.
4. A participant may only be registered on one team per sport.
Website: rec.usask.ca 5. Captain’s MUST provide contact information.
Phone: (306) 966 1001 6. Information on fee return is provided on your receipt.
7. Include Captain’s names and student # on roster list.

Dodge Ball
ACTIVITY/SPORT _________________________________________  Men’s  Women’s 
x CoRec
Brad Nordell's Dodge ba
TEAM NAME: _____________________________________________ LEAGUE TIME: _______________________
8:30 -10:00 pm
JR Nordell
REGISTERED/PAID BY: ____________________________________ LEAGUE DAY: _______________________
Wednesday
CAPTAIN NAME: _____________________________PHONE
JR Nordell # _______________
306-830-7490 E-MAIL ________________________
jrn572@usask.ca
ALT. 1 NAME: ________________________________PHONE
Dylan Stephenson # _______________
780-214-3052 E-MAIL ________________________
bpt619@usask.ca
ALT. 2 NAME: ________________________________PHONE
Jax Nordell # _______________
306-830-7491 E-MAIL ________________________
dds182@usask.ca

College
STUDENT # SURNAME FIRST NAME / Unit NSID / E-mail Address
1 1 1 2 9 5 2 3 0 Nordell JR Eng
jrn572 / jrn572@usask.ca
2 1 1 3 4 1 5 6 0 Nordell Eng
Jax bpt619 / bpt619@usask.ca
3 1 1 3 1 5 3 0 8 Eng
Conacher Hudson crd261 / crd261@usask.ca
4 1 1 2 9 3 0 0 8 Corey Nusing
Friemark caf879 / caf879@usask.ca
5 1 1 2 9 9 0 7 2
Rogers Jack Edwards jar341 / jar341@usask.ca
6 1 1 2 9 4 2 3 6 Arts
Stephenson Dylan dds182 / dds182@usask.ca
7 1 1 2 4 0 5 6 0 Ag
Rogers Ben tzx563 / tzx563@usask.ca
8 1 1 3 1 6 0 7 4 Fiest hun839 / hun839@usask.ca
Rylan Arts
9 1 1 2 9 2 8 6 4 Litchfield Kin ajl389 / ajl389@usask.ca
Aspen
10 1 1 3 5 3 4 0 6 Johnson Arts
Carter xjg498 / xjg498@usask.ca
11 1 1 3 8 0 7 3 4 Lefeburn Isabella Arts lyn349 / lyn349@usask.ca
12 1 1 3 3 3 0 5 4 Hanley Kelton Edwards xog703 / xog703@usask.ca
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The University of Saskatchewan is committed to protecting the privacy of people whose personal information is held by the University through
responsible information management.

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