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Drayson Center intramural team entry form

Sport_____________________________ Team name_________________

Team captain_______________________________________

Men's____ Women's____ Co-Rec____

LEVEL: DIV-1_____ DIV-2_____

(DIV-1=Highly skilled or above average; DIV-2=Average skill level)

Address_______________________________ E-mail_________________

City_____________________ Zip__________

*Game Start Times Preferred Home Phone

Nights, (if applicable) paid receipt #_________

*DC will attempt to accommodate your preference if possible; however, there is no guarantee! Please base your participation on the game start times of approximately 6:15, 7:15, & 8:15 p.m.

Date_________________________________

Forfeit deposit check____________________

School representing___________________

MEDICAL LIABILITY INFORMATION: It is the responsibility of all intramural participants to ascertain whether their own health conditions make it advisable to participate in a particular sport. The university cannot assume responsibility. All participants in the intramural program are strongly advised to have medical insurance coverage. In case of injury, minimum first aid emergency treatment (ice, bandages) will be administered by the Drayson Center staff members. After an injury has initially been treated, further medical treatment becomes the responsibility of the injured individual.

CONDUCT: Any acts of aggressive physical/verbal violence will not be tolerated. Players guilty of such an action before during, or after an intramural contest may be suspended from further play. All leagues are recreational, and Christian behavior is expected. No refund on player's fees will be given. Credit may be requested towards participation in another sport.

I have read the above statements and will inform the members of my team about the specific content of them.

Team captain

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