Intramural Roster Form

Turn in to Coach Clark (Larson Center)

Team Name________________________________ Sport_________________

Team Captain______________________ Email:____________ Box #________

Phone #_________________

Player's name (Please Print) Player'signature

1. ____________________________ ____________________________

2. ____________________________ ____________________________

3. ____________________________ ____________________________

4. ____________________________ ____________________________

5. ____________________________ ____________________________

6. ____________________________ ____________________________

7. ____________________________ ____________________________

8. ____________________________ ____________________________

9. ____________________________ ____________________________

10. ____________________________ ____________________________

11. ____________________________ ____________________________

12. ____________________________ ____________________________

13. ____________________________ ____________________________

Legal Liability

There are risks involved in playing any intramural activity. The intramural department waives all responsibility for injuries that may occur during intramural contests. By signing this roster, you have waived the intramural department from any legal responsibility that may occur during intramural contests. All participants in intramurals must sign on the player roster, or they will not be allowed to participate. Any team that allows a non-roster player to participate will be disqualified from any further intramural contests.