IM Broomball League Registration Form


Wednesday Nights

Team Name:

Game Days:  Wednesdays

Game Times:  8 -11 pm         

Captain:

Email:

Phone:

Box:

Team Members:
1.Name:YR:Box: *Varsity or Club Sport?

2.Name:YR:Box: *Varsity or Club Sport?

3.Name:YR:Box: *Varsity or Club Sport?

4.Name:YR:Box: *Varsity or Club Sport?

5.Name:YR:Box: *Varsity or Club Sport?

6.Name:YR:Box: *Varsity or Club Sport?

7.Name:YR:Box: *Varsity or Club Sport?

8.Name:YR:Box: *Varsity or Club Sport?

9.Name:YR:Box: *Varsity or Club Sport?

10.Name:YR:Box: *Varsity or Club Sport?

11.Name:YR:Box: *Varsity or Club Sport?

12.Name:YR:Box: *Varsity or Club Sport?

Teams should have a minimum of 9 players and no more than 12 on the roster.

*If a team member has participated on a varsity or club team this academic year, please indicate what team(s) they have played on. Information is strictly for the IM office.

Team Rosters are DUE:   Friday, Feb. 11, 2011 - 6 pm

or

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