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Intramural Entry Form | Official Roster

 

 

Rather print this form than fill it out online? Download and save this roster sheet and return to the Student Activities office.

Intramural Roster Sheet

Team Roster

 

Online Registration

Team Name:
| required |

Team Captain:
 | required |

Unit: [ Residence Hall/Student Organization/Off Campus ]
| required |

Email:
 | required |

Address:
 | required |

Phone:
 | required |


Sport

Days

Times Available


Monday

Please indicate your preferred time(s) to play.  We will contact you with final schedule details.


Wednesday

Please indicate your preferred time(s) to play.  We will contact you with final schedule details.


Saturday. Feb. 19

Please indicate your preferred time(s) to play.  We will contact you with final schedule details.


Saturday. Feb. 19

Please indicate your preferred time(s) to play.  We will contact you with final schedule details.

 

 

Team Members or Participants:

NOTE: Must provide address and phone to all team members

 

Name:

Address:

Phone #:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.


 

 


                       

 

Wayne State College
Our focus is your future

Wayne State College / 1111 Main St. / Wayne, NE 68787
800-228-9972 / Admissions: 866-WSC-CATS
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