Stetson Intramural Sports

2009-2010 Team Entry and Roster

(Please Print)

Sport: 5/5 Indoor Soccer League: ____ Men's A, ____ Men's B, ____ Women's

Team Name: _________________________________________ Playing for All-Sports Points _________

Team Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Ass't Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Official:_________________________________________

Required Team Representative Meeting: Tue, Mar 23, 4 PM, Hollis Center

Required Official's Clinic: Wed or Thur, Mar 24 or 25, 4 PM, Hollis Center

(your official must attend one of these clinics)

Playing Dates: Mar 29 – Apr 22, 8:00 – 11:00 PM

Roster: PLEASE PRINT (List only those you expect to be playing – additions can be made at any time until last game of the season.)

First Name Last Name First Name Last Name

1. ______________________________________________ 7. ______________________________________________

2. ______________________________________________ 8. _____________________________________________

3. ______________________________________________ 9. ______________________________________________

4. ______________________________________________ 10. ______________________________________________

5. ______________________________________________ 11. ______________________________________________

6. ______________________________________________ 12. ______________________________________________

Information on rosters, eligibility, sportsmanship and conduct, forfeits, and liability waivers rules are printed in the 2009- 2010 Stetson University IM Sports Team Captain's Guide.

8:00 PM

8:45 PM

9:30 PM

10:15 PM

Schedule Preferences (does not apply to All-University tournament):

Mon Tue Wed Thur

o

Prefer to play

x

Prefer not to play

Cannot Play (maximum 4) xxx

No preference

Specific dates you cannot play: ________________________________ and reason: ________________________________________

Team Captain Signature________________________________________ Date __________________________