Stetson Intramural Sports

2009-2010 Team Entry and Roster

(Please Print)

Sport: Basketball 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, Jan 19, 4 PM, Hollis Center

Required Official's Clinic: Wed or Thur, Jan 20 or 21, 4 PM, Hollis Center

(your official must attend one of these clinics)

Playing Dates: Jan 25 – Mar 11, 7 PM – 11 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. ______________________________________________ 8. ______________________________________________

2. ______________________________________________ 9. _____________________________________________

3. ______________________________________________ 10. ______________________________________________

4. ______________________________________________ 11. ______________________________________________

5. ______________________________________________ 12. ______________________________________________

6. ______________________________________________ 13. ______________________________________________

7. ______________________________________________ 14. ______________________________________________

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

Mon Tues Wed Thurs

7 pm

8 pm

9 pm

10 pm

Key: O = Prefer to play on this day and time

X = Prefer not to play on this day and time

= Cannot play (Maximum 4)

Specific dates cannot play_______________________ and reason______________________________________________________.

_______________________________ ________________

Team Captain Signature date