Intramural Sports team Registration Form Office Use Only: ________________________________________
University of Hartford Intramurals
Team Name:
Choose one of the following Sports: Choose one of the following Division: Choose one of the following Term:
Outdoor Soccer 7 on 7 Flag Football Tennis Singles Co-Rec Kickball Badminton Racquetball Ultimate Frisbee Midnight Mania Contest Outdoor Dodgeball 3-3 Basketball Squash Swimming Extreme Dodgeball 4 on 4 Sand Volleyball Strong Person Competition Turkey Trot Basketball Contest 5-5 Basketball Team Handball MEN WOMEN Co-REC Fall 2006 Spring 2007 Fall 2007 Spring 2008
Special Request for scheduling (This is not Guaranteed but we'll try our best to meet your needs):
(Writing down No Thursday so you can go out is not an acceptable excuse!)
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Blackout Dates: (Dates and times that you are positive you cannot field a team. Accommodations are not guaranteed.)
(Ex. Holidays, Special Events etc.)
Day & Date Event Length of Event
This certifies that I, (team captain/ manger), know and understand the eligibility rules and have completely checked the eligibility of all the players on my team. If there is any discrepancy. I will assume full responsibility. I understand that failure to comply with these rules will result in action as outlined in the Intramural Handbook and the rule packets.
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Team Captain Name: Initial:
Local Phone Date
Work Phone/ Cell Phone SSN
Local/ School Address
E-mail Address
Assistant Captain Name
Local Phone
Email Address
All players will be required to sign the assumption of risk form prior to participating in their first game.